Individual
DR. MARY ELLEN BONAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1325 US HIGHWAY 206, SUITE 24, SKILLMAN, NJ 08558-1922
(609) 279-0005
(609) 279-0004
Mailing address
1325 US HIGHWAY 206, SUITE 24, SKILLMAN, NJ 08558-1922
(609) 279-0005
(609) 279-0004
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OA-05298
NJ
Other
Enumeration date
07/09/2006
Last updated
07/09/2007
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