Individual
JAY HAROLD BONNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-3153
(617) 855-3722
Mailing address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-3153
(617) 855-3722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77389
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3146626
—
MA
01
—
J16137
BCBS
MA
Enumeration date
06/08/2006
Last updated
01/31/2012
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