Organization
BONNER SPORTS AND PHYSICAL MEDICINE, INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F BONNER M.D. (OFFICE)
(215) 547-6611
Entity
Organization
Contact information
Practice address
333 N OXFORD VALLEY RD, #102, FAIRLESS HILLS, PA 19030-2624
(215) 547-6611
(215) 547-1054
Mailing address
333 N OXFORD VALLEY RD STE 105, FAIRLESS HILLS, PA 19030-2626
(215) 547-6611
(215) 547-1054
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071950000
IBX
PA
05
—
1539034
—
PA
01
—
2426694000
IBX
PA
01
—
5461117
AETNA
PA
Enumeration date
01/09/2007
Last updated
07/09/2025
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