Individual
CHARLES THEODORE BONOS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1243 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6268
(610) 402-9230
(610) 402-9293
Mailing address
4375 VALLEY DR, ALLENTOWN, PA 18104-1967
(610) 398-0384
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD032472L
PA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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