Provider Demographics
NPI:1699951962
Name:DR RALPH BONOCORE & ASSOCIATES CHIROPRACTIC, PC
Entity type:Organization
Organization Name:DR RALPH BONOCORE & ASSOCIATES CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BONOCORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-894-3231
Mailing Address - Street 1:408 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2674
Mailing Address - Country:US
Mailing Address - Phone:973-894-3231
Mailing Address - Fax:973-894-3232
Practice Address - Street 1:408 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2674
Practice Address - Country:US
Practice Address - Phone:973-894-3231
Practice Address - Fax:973-894-3232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty