Individual
JAMES P BONZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, EMMC - CAPS 2, BANGOR, ME 04401-6616
(207) 973-4519
(207) 992-4132
Mailing address
141 N MAIN ST, STE # 205, BREWER, ME 04412-2011
(207) 973-4519
(207) 992-4132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
018367
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201020
COASTAL EYE SURGERY CENTER
ME
Enumeration date
09/21/2006
Last updated
11/10/2011
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