Individual
DR. MARY M BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
(717) 782-5716
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015469
PA
207P00000X
Emergency Medicine Physician
OT012620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026165510001
—
PA
Enumeration date
05/21/2008
Last updated
03/29/2016
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