Provider Demographics
NPI:1255368304
Name:BUONO, BARTOLOMEO I (DC)
Entity type:Individual
Prefix:DR
First Name:BARTOLOMEO
Middle Name:
Last Name:BUONO
Suffix:I
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4057 ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-7700
Mailing Address - Country:US
Mailing Address - Phone:732-922-2225
Mailing Address - Fax:732-918-4746
Practice Address - Street 1:1806 HWY 35
Practice Address - Street 2:STE 104
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2767
Practice Address - Country:US
Practice Address - Phone:732-922-2225
Practice Address - Fax:732-918-4746
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00563800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ044361Medicare ID - Type Unspecified