Individual
DR. JAMES M BONNAR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32671
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-53342
UBH PROVIDER ID
RI
01
—
30112-7
BLUE CROSS PROVIDER ID
RI
01
—
408955
BLUE CHIP PROVIDER ID
RI
05
—
JB23743
—
RI
Enumeration date
06/29/2006
Last updated
01/08/2015
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