Organization
BONNIE L. BURNQUIST, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE L. BURNQUIST M.D. (OWNER)
(302) 537-6110
Entity
Organization
Contact information
Practice address
118 ATLANTIC AVE, SUITE 201, OCEAN VIEW, DE 19970-9163
(302) 537-6110
(302) 537-4666
Mailing address
71 OMEGA DR, BUILDING D, NEWARK, DE 19713-2063
(302) 283-3300
(302) 283-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10007200
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD5725
RAILROAD
DE
Enumeration date
11/05/2007
Last updated
03/15/2016
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