Individual
DR. DAVID BONEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
601 N CAROLINE ST, ROOM 4214, BALTIMORE, MD 21287-0006
(410) 955-5525
(410) 955-8517
Mailing address
3925 BEECH AVE, APT. 224, BALTIMORE, MD 21211-2200
(410) 235-4412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P20813 UMP
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P20813
UNLIC MED PRAC (UMP)
MD
Enumeration date
02/13/2007
Last updated
07/08/2007
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