Individual
SUSAN J BONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT, COLUMBUS, OH 43214-3908
(614) 566-4945
(614) 263-1056
Mailing address
PO BOX 20452, CORPATH CRED, COLUMBUS, OH 43220-0452
(614) 566-5526
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
35059562
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35059562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0892280
—
OH
01
—
220023136
RR MCR
—
01
—
USE SSN-00
OHIO BWC
OH
Enumeration date
08/09/2005
Last updated
05/24/2013
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