Active NPIIndividual providerSole proprietor

Gwendolyn R Bonner

Specialist, Prosthetics Case Management in Edgewater Park, New Jersey

NPI Number1982411385
Practice location
837 Woodlane RD, Edgewater Park, NJ 08010-1950
Fax
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Last updated
December 18, 2024

Gwendolyn Renee Bonner is a Specialist, Prosthetics Case Management based in Edgewater Park, NJ. Gwendolyn Renee Bonner practices in Edgewater Park, NJ. The NPI Number for Gwendolyn Renee Bonner is 1982411385 and holds a License No. 32WG04308000 (NJ). The current practice location address for Gwendolyn Renee Bonner is 837 Woodlane RD, Edgewater Park, NJ 08010-1950 and can be reached out via phone at 609-534-6658.

Provider Profile Details

NPI Number
1982411385
Provider Name
Gwendolyn Renee Bonner
Provider Entity Type
Individual
Gender
Female
Address
837 Woodlane RD, Edgewater Park, NJ 08010-1950
Phone Number
609-534-6658
Primary Taxonomy
Specialist, Prosthetics Case Management · 1744P3200X
Sole Proprietor
Yes
Provider Enumeration Date
December 18, 2024
Last Update Date
December 18, 2024
Certification Date
December 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
837 Woodlane RD
Edgewater Park, NJ 08010-1950
Zip
08010-1950
Phone Number
609-534-6658
Edgewater Park, NJ 08010Get directions →

Provider Business Mailing Address Details

Address
837 Woodlane RD
Edgewater Park, NJ 08010-1950
City
Edgewater Park
State
NJ
Zip
08010-1950
Phone Number
609-534-6658

License Information

License Number
32WG04308000
License State
NJ
Taxonomy
Specialist, Prosthetics Case Management · 1744P3200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gwendolyn R Bonner?

The NPI number of Gwendolyn R Bonner is 1982411385. It was assigned on December 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Gwendolyn R Bonner?

Gwendolyn R Bonner is registered under the primary taxonomy Specialist, Prosthetics Case Management (code 1744P3200X), licensed in NJ under license number 32WG04308000.

Where does Gwendolyn R Bonner practice?

The practice location is 837 Woodlane RD, Edgewater Park, NJ 08010-1950. The office can be reached at 609-534-6658 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982411385 directly on the NPPES registry website.

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