Individual
ANTHONY FRANCIS BONAGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
373 MOYER BLVD, NORTH WALES, PA 19454-2725
(215) 699-5890
Mailing address
373 MOYER BLVD, NORTH WALES, PA 19454-2725
(215) 699-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD048821L
PA
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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