NPI

Kathleen Bonnenberg

NPI 1417270976

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2010-03-11
Last updated
2010-03-11

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Specialties

Licenses

License NJ
44SC05211900

Location

Practice location
199 Woodbury Road
City
Pitman NJ
Postal code
08071-0818
Phone
(856) 371-5750

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Pitman, NJ. 144 records in the public file.

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