Individual
AMY JEANNE BONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
845 SIR THOMAS COURT, SUITE 7, HARRISBURG, PA 17109-4843
(717) 652-7616
(717) 909-3204
Mailing address
845 SIR THOMAS COURT, SUITE 7, HARRISBURG, PA 17109-4843
(717) 652-7616
(717) 909-3204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD043649L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001232340
—
PA
Enumeration date
11/30/2005
Last updated
12/10/2015
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