Individual
ALEXANDER JOHN BONICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5454
(603) 354-6512
Mailing address
51 GREEN ACRES RD, KEENE, NH 03431-1832
(603) 357-5664
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7111
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80000821
—
NH
Enumeration date
07/17/2006
Last updated
07/08/2007
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