Individual
DR. RYAN MICHAEL BONSHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 EVERGREEN DR, GLEN MILLS, PA 19342-1059
(610) 579-3515
Mailing address
3 OAKMONT CIR, GLEN MILLS, PA 19342-1826
(717) 919-3502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10161400
NJ
2085R0202X
Diagnostic Radiology Physician
MD459076
PA
2085R0204X
Vascular & Interventional Radiology Physician
25MA10161400
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD459076
PA
Other
Enumeration date
07/05/2012
Last updated
03/28/2023
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