Provider Demographics
NPI:1386803237
Name:RICHARD H BONDER M.D., P.A.
Entity type:Organization
Organization Name:RICHARD H BONDER M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-999-0075
Mailing Address - Street 1:1941 LIMESTONE RD
Mailing Address - Street 2:STE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5408
Mailing Address - Country:US
Mailing Address - Phone:302-999-0075
Mailing Address - Fax:302-995-0189
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:STE 202
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5408
Practice Address - Country:US
Practice Address - Phone:302-999-0075
Practice Address - Fax:302-995-0189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1989016743174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty