MEDICARE: LAURA R BOND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA06058800	NJ
2	2085R0001X	Radiation Oncology Physician	25MA06058800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407852726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA R BOND MD

Provider Business Mailing Address
First Line	:	1 ROBERT WOOD JOHNSON PL
Second Line	:	RUTGERS-RWJ RADIATION ONCOLOGY
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-1928
Country	:	US
Telephone Number	:	732-235-6572
Fax Number	:	732-235-5260

Provider Business Practice Location Address
First Line	:	30 REHILL AVE STE 1100
Second Line	:
City	:	SOMERVILLE
State	:	NJ
Zip	:	08876-2545
Country	:	US
Telephone Number	:	908-769-5909
Fax Number	:	908-927-8764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	04/29/2024

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