Individual
JAMES JOSEPH BONNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 N 13TH ST, STE 207, READING, PA 19604-1539
(610) 921-9751
(610) 921-2681
Mailing address
1940 N 13TH ST, STE 207, READING, PA 19604-1539
(610) 921-9751
(610) 921-2681
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-031858-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011009870001
—
PA
01
—
0027861
AETNA
—
01
—
01163701
CAPITAL BLUE CROSS
—
01
—
02337100
CAPITAL BLUE CROSS
—
01
—
0991448
KEYSTONEHEALTHPLANCENTRAL
—
01
—
249554
MAMSI
—
01
—
B0128492
HIGHMARK BLUE SHIELD
—
Enumeration date
08/03/2005
Last updated
07/08/2007
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