Individual
JEROME H BONIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(427) 962-9622
(724) 962-6027
Mailing address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(427) 962-9622
(724) 962-6027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34005999
OH
207X00000X
Orthopaedic Surgery Physician
Primary
OS004772L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008605300003
—
PA
05
—
0504458
—
OH
Enumeration date
08/25/2005
Last updated
06/08/2012
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