Bonner Sports And Physical Medicine, Inc.. | |
333 N Oxford Valley Rd, #102, Fairless Hills, PA 19030-2624 | |
(215) 547-6611 | |
(215) 547-1054 |
Full Name | Bonner Sports And Physical Medicine, Inc.. |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 333 N Oxford Valley Rd, Fairless Hills, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851440028 | NPI | - | NPPES |
071950000 | Other | PA | IBX |
1539034 | Medicaid | PA | |
2426694000 | Other | PA | IBX |
5461117 | Other | PA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Provider Name | William F Bonner |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1710036926 PECOS PAC ID: 9234304270 Enrollment ID: I20111202000512 |
Provider Name | Anita Acharya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003575119 PECOS PAC ID: 7214321256 Enrollment ID: I20220308001788 |
Provider Name | Meghan F Bonner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629683115 PECOS PAC ID: 6204202690 Enrollment ID: I20221027000357 |
Provider Name | Noby Sajan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679335780 PECOS PAC ID: 2062957103 Enrollment ID: I20240712001022 |
Mailing Address | Practice Location Address |
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Bonner Sports And Physical Medicine, Inc.. 333 N Oxford Valley Rd, #102, Fairless Hills, PA 19030-2624 Ph: (215) 554-7661 | Bonner Sports And Physical Medicine, Inc.. 333 N Oxford Valley Rd, #102, Fairless Hills, PA 19030-2624 Ph: (215) 547-6611 |