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Organization

BONANNO, ANDERSON & MARCIN, PROF. CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP BONANNO MD (CFO / TREASURER)
(201) 960-3200
Entity
Organization

Contact information

Practice address
3010 COLBY ST STE 212, BERKELEY, CA 94705-2059
(650) 417-3637
(618) 464-1208
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084P0015X
Psychosomatic Medicine Physician
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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