Individual
DR. BONNIE L. VAN UITERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 WASHINGTON AVE, PHILADELPHIA, PA 19147-4717
(215) 339-5100
(215) 454-6814
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD021845E
PA
207RI0200X
Infectious Disease Physician
Primary
MD021845E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000863855
—
PA
05
—
0089982
—
NJ
Enumeration date
07/16/2006
Last updated
10/10/2014
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