Provider Demographics
NPI:1255479978
Name:PEDRO O CABRERA BONET MD LLC
Entity Type:Organization
Organization Name:PEDRO O CABRERA BONET MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:O
Authorized Official - Last Name:CABRERA BONET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-399-9835
Mailing Address - Street 1:PO BOX 1525
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-5525
Mailing Address - Country:US
Mailing Address - Phone:908-399-9835
Mailing Address - Fax:908-497-1770
Practice Address - Street 1:59 MAIN ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5341
Practice Address - Country:US
Practice Address - Phone:908-399-9835
Practice Address - Fax:908-497-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA067870207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty