Individual
STEVEN BONAWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ RM 411, CAMDEN, NJ 08103
(856) 342-3114
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA09677700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420593600
—
MD
01
—
97437706
CAREFIRST OF MARYLAND
—
01
—
Y3620001
CAREFIRST
—
Enumeration date
12/12/2005
Last updated
04/17/2019
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