Organization
PARKSIDE ORTHOPEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME H BONIER DO (PRESIDENT)
(724) 962-9622
Entity
Organization
Contact information
Practice address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-9622
(724) 962-6027
Mailing address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-9622
(724) 962-6027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008605210003
—
PA
05
—
0502594
—
OH
Enumeration date
06/01/2006
Last updated
11/30/2007
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