Individual
DR. JAY S BONOVITZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 DERWEN RD, MERION STATION, PA 19066-1207
(610) 664-3785
(610) 664-5647
Mailing address
214 DERWEN RD, MERION STATION, PA 19066-1207
(610) 664-3785
(610) 664-5647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD014885E
PA
Other
Enumeration date
02/22/2006
Last updated
07/09/2007
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