Individual
CHRISTOPHER JOHN BONAVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 PORTLAND ST APT 1, PITTSBURGH, PA 15206-1567
(814) 706-2776
Mailing address
1021 PORTLAND ST APT 1, PITTSBURGH, PA 15206-1567
(814) 706-2776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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