Individual
JERROLD CHARLES BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 OLD YORK RD, SUITE 106 B, ELKINS PARK, PA 19027-2318
(215) 635-3300
(215) 635-2750
Mailing address
7900 OLD YORK RD, SUITE 106 B, ELKINS PARK, PA 19027-2318
(215) 635-3300
(215) 635-2750
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
006869E
PA
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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