Individual
MARIA C BONGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7121
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7121
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
876176
NJ
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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