Organization
DENNIS JAMES BONNER, M.D., LTD
Active
Other names
Rehabilitation & Occupational Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JAMES BONNER MD (PRESIDENT)
(215) 752-1600
Entity
Organization
Contact information
Practice address
1854 VETERANS HWY, LEVITTOWN, PA 19056-2107
(215) 752-1600
(215) 750-7328
Mailing address
1854 VETERANS HWY, LEVITTOWN, PA 19056-2107
(215) 752-1600
(215) 750-7328
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MA037637
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD019375-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000514138
BLUE SHIELD HIGHMARK
PA
01
—
0110593000
HMO
PA
Enumeration date
07/31/2006
Last updated
09/23/2008
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