Organization
BONNER PHYSIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANCIS BONNER MD (PHYSICIAN)
(610) 490-3900
Entity
Organization
Contact information
Practice address
1 E BEACON LIGHT LN, CHESTER, PA 19013-4433
(610) 490-3900
(610) 490-3904
Mailing address
217 KEDRON AVE, FOLSOM, PA 19033-1310
(610) 532-2633
(610) 532-7856
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000512072
HIGHMARK BLUE SHIELD ID
PA
01
—
0110278000
HMO ID
PA
Enumeration date
07/21/2006
Last updated
11/10/2016
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