Individual
BONNIE AN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
153862
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110058441A
—
MA
Enumeration date
11/07/2005
Last updated
12/09/2015
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