Individual
ANTHONY J BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
565 ABBOTT RD, MERCY HOSPITAL, BUFFALO, NY 14220-2039
(716) 826-7000
(716) 213-0348
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 213-0348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
104128
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010019101
UNIVERA
NY
01
—
000506757003
BLUE CROSS TRADITIONAL CO
NY
05
—
1084844
—
NY
01
—
2100902
INDEPENDENT HEALTH
NY
Enumeration date
11/22/2005
Last updated
06/13/2008
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