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Individual

DR. RAPHAEL EDWARD BONITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 CHESTNUT ST, MEZZANINE LEVEL, PHILADELPHIA, PA 19107-4216
(215) 955-5050
(215) 955-1174
Mailing address
5501 OLD YORK ROAD, KORMAN, SUITE 202, PHIALDELPHIA, PA 19141-3018
(215) 456-2630

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD428378
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0225088
NJ
05
1024344320001
PA
Enumeration date
10/11/2007
Last updated
03/22/2017
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