Individual
DR. BONITA BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(571) 363-3539
(571) 363-3540
Mailing address
PSC 50 BOX 987, APO, AE 09494-0010
(202) 255-4015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012201915
VA
207P00000X
Emergency Medicine Physician
20A18214
CA
207R00000X
Internal Medicine Physician
BB9985966
VA
Other
Enumeration date
10/23/2006
Last updated
07/14/2025
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