Individual
DR. BONNIE BRICE DORWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
124 MAPLE AVE, BALA CYNWYD, PA 19004-3031
(610) 667-3849
Mailing address
124 MAPLE AVE, BALA CYNWYD, PA 19004-3031
(610) 667-3849
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD01108E
PA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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