Individual
JOSEPH BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 648-1000
Mailing address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 648-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD036029E
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD036029E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010970030012
—
PA
Enumeration date
05/25/2006
Last updated
03/07/2023
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