Mary Ann Bonilla
M.D. | Pediatric Hematology-Oncology | Female
Mary Ann Bonilla, M.D. is a Paterson, New Jersey based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Mary Ann Bonilla is
703 Main St, St. Joseph's Regional Medical Center, Paterson, New Jersey - 07503-2621. She can be contacted on phone at
973-754-2000.
Mary Ann Bonilla is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Ann Bonilla is
1316999154 which was assigned by NPPES on 17 May, 2006 and it was last updated on 08 Mar, 2013.
Mary Ann Bonilla license number is
25MA06328600 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in New Jersey.
Mary Ann Bonilla is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Mary Ann Bonilla basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Mary Ann Bonilla |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mary Ann Bonilla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 703 Main St, St. Joseph's Regional Medical Center
Paterson, NJ, 07503-2621
United States |
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| Phone Number : | 973-754-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316999154 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2006 |
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| Last Updated On : | 08 Mar, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ann Bonilla are as mentioned. Primary taxonomy code for Mary Ann Bonilla, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 25MA06328600 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Mary Ann Bonilla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7243405 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 703 Main St, St. Joseph's Regional Medical Center
Paterson, NJ, 07503-2621
United States |
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| Phone Number : | 973-754-2000 |
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Business Location:
Patients can refer following map for directions to
Mary Ann Bonilla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.