Individual
BRUCE BONIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 LINCOLN DR W, STE F, MARLTON, NJ 08053-1522
(856) 985-2001
Mailing address
5001 LINCOLN DR W, STE F, MARLTON, NJ 08053-1522
(856) 985-2001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MB06159000
NJ
2085R0202X
Diagnostic Radiology Physician
OS004560L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926454
—
PA
01
—
0057308000
INDEPENDENCE BLUE CROSS
PA
01
—
0092645401
AMERICHOICE
PA
01
—
092284
HIGHMARK
PA
01
—
1017661
KEYSTONE MERCY
PA
01
—
15771
HEALTH PARTNERS
PA
01
—
300064533
RR MEDICARE
PA
01
—
8321
BRAVO ELDER HEALTH
PA
Enumeration date
08/03/2005
Last updated
09/26/2007
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