Individual
DR. JOHN-MICHAEL JOSEPH BONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-8300
Mailing address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-8300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371530
—
MA
Enumeration date
12/13/2006
Last updated
09/14/2016
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