Individual provider · Type 1 NPI

Marie L. Bonvicino, MD

Specialist · Toms River, NJ

NPI number 1407891609 Active

Practice location

222 Oak Ave
Toms River, NJ 08753-3348

Fax (732) 341-3303

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA06624300 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407891609

Marie L. Bonvicino, MD's National Provider Identifier is 1407891609, issued on Jun 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Toms River, NJ. The record was last updated on Jul 8, 2007.