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Individual

HUGH BONNER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 N CLAYTON ST, 2ND FLOOR MEDICAL SERVICE BUILDING, WILMINGTON, DE 19805-3165
(302) 575-8040
(302) 575-8005
Mailing address
701 N CLAYTON ST, 2ND FLOOR, MEDICAL SERVICES BUILDING, WILMINGTON, DE 19805-3165
(302) 575-8040
(302) 575-8005

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0004738
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000725401
DE
01
P00367200
RAILROAD MEDICARE INDIV
DE
Enumeration date
09/20/2005
Last updated
05/10/2021
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