Marie Bonta M.D.

NPI 1669633012 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1669633012
Gender Female
Enumeration Date 06/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
620 JOHN PAUL JONES CIR
NMCP GME CODE 14G300
PORTSMOUTH VA, 23708-2111, US
Phone (757) 953-7001
Fax
Business Location
850 CRAWFORD PKWY
#2203
PORTSMOUTH VA, 23704-2304, US
Phone (864) 266-1687
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ms. Marie Bonta M.D. NPI is 1669633012, taxonomy code is 390200000X Marie Bonta M.D. physically located at 620 John Paul Jones Cir, Portsmouth VA, 23708-2111. NPI Number Marie Bonta M.D. has the Individual type.

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1669633012 NPI number is provided on an as is basis without warranty of any kind. 1669633012 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Bonta M.D. are for informational purposes only.