Individual
BONNIE S TATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5701 CENTRE AVE, L-1, PITTSBURGH, PA 15206-3744
(412) 361-3668
(412) 361-4207
Mailing address
5701 CENTRE AVE, L-1, PITTSBURGH, PA 15206-3744
(412) 361-3668
(412) 361-4207
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003424-L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003424-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275983
—
PA
Enumeration date
10/09/2005
Last updated
11/16/2012
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