Individual
BONNIE SHANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CONRAD DR, AMBLER, PA 19002-4008
(215) 542-5899
Mailing address
1 CONRAD DR, AMBLER, PA 19002-4008
(215) 542-5899
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD018891E
PA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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