Healthcare Provider Details

I. General information

NPI: 1255916763
Provider Name (Legal Business Name): ROSEMARY M BUONOCORE APN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 REGENT ST STE 509
LIVINGSTON NJ
07039-1682
US

IV. Provider business mailing address

5 REGENT ST STE 509
LIVINGSTON NJ
07039-1682
US

V. Phone/Fax

Practice location:
  • Phone: 973-251-2437
  • Fax:
Mailing address:
  • Phone: 973-251-2437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number1649723743
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: