MRS. Susan M Bolick-Bonin, PA

NPI #1659354371 in Vandling, Pennsylvania

Provider Information

NPI Number: 1659354371
Entity Type: Individual
Name: MRS. Susan M Bolick-Bonin, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 28, 2005
Last Updated: Jun 17, 2016

Practice Location

Address: 111 MAIN ST
City: Vandling
State: Pennsylvania
ZIP Code: 18421-1711
Phone: (570) 785-3194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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