Individual
DR. BONNIE FOSTER STRAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3350 BERKMAR DRIVE, CHARLOTTESVILLE, VA 22901
(434) 923-4651
Mailing address
3350 BERKMAR DR, CHARLOTTESVILLE, VA 22901-1491
(434) 923-4651
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101042830
VA
207NS0135X
Procedural Dermatology Physician
0101042830
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005900310
VIRGINIA PREMIER
VA
05
—
005900310
—
VA
01
—
070015381
MEDICARE RAILROAD
VA
01
—
140449
ANTHEM BC/BS
VA
01
—
26982700001
SOUTHERN HEALTH
VA
01
—
700215299
CIGNA
VA
Enumeration date
03/28/2006
Last updated
01/21/2015
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