Individual
DR. LUIGI VITTORIO BONOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1194
(973) 419-0417
(862) 766-5904
Mailing address
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1194
(973) 419-0417
(862) 766-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1932-29
NY
207R00000X
Internal Medicine Physician
25MA064708000
NJ
207RN0300X
Nephrology Physician
1932-29
NY
207RN0300X
Nephrology Physician
Primary
25MA06470800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7551401
—
NJ
Enumeration date
02/26/2006
Last updated
08/21/2013
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