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Individual

DR. BONITA E FALKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
833 CHESTNUT STREET, SUITE 700, PHILADELPHIA, PA 19107-4414
(215) 503-3000
(215) 503-4099
Mailing address
833 CHESTNUT STREET, SUITE 700, PHILADELPHIA, PA 19107-4414
(215) 503-3000
(215) 503-4099

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD010602E
PA
207RN0300X
Nephrology Physician
Primary
MD010602E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000732871
PA
05
3485907
NJ
Enumeration date
07/22/2006
Last updated
03/24/2015
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