Provider Demographics
NPI:1013220748
Name:BONI, MARIE ARLETTE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:ARLETTE
Last Name:BONI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MURRAY HILL PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:E RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-2181
Mailing Address - Country:US
Mailing Address - Phone:201-460-1101
Mailing Address - Fax:
Practice Address - Street 1:30 MURRAY HILL PKWY STE 400
Practice Address - Street 2:
Practice Address - City:E RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-2181
Practice Address - Country:US
Practice Address - Phone:201-460-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03216100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist