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Individual

ERNEST O BONSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PA-C

Contact information

Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8130
Mailing address
PO BOX 418056, BOSTON, MA 02241-8056
(301) 552-8130

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004941
MD
363AS0400X
Surgical Physician Assistant
C5-0000842
DE

Other

Enumeration date
02/28/2013
Last updated
02/19/2025
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