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Individual

DR. ERIC M BONNEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
87 MCGREGOR ST, DARTMOUTH HITCHCOCK - HEMATOLOGY/ONCOLOGY, MANCHESTER, NH 03102
(603) 695-2500
Mailing address
87 MCGREGOR ST, DARTMOUTH HITCHCOCK - HEMATOLOGY/ONCOLOGY, MANCHESTER, NH 03102
(603) 695-2500

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
24083
WV
207RH0003X
Hematology & Oncology Physician
Primary
9298
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30201458
NH
05
3810018504
WV
01
P00141297
RAILROAD MEDICARE
NH
01
P01206965
RR MEDICARE
WV
Enumeration date
09/07/2005
Last updated
07/06/2018
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