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Individual

JORGE M BONADONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8580
Mailing address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8580

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4245
MA
363AM0700X
Medical Physician Assistant
PA00412
RI

Other

Enumeration date
12/20/2006
Last updated
12/08/2014
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