Provider Demographics
NPI:1801781646
Name:BONDHUS, ELISABETH GRACE (PA-C)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:GRACE
Last Name:BONDHUS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 DOVER CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1548
Mailing Address - Country:US
Mailing Address - Phone:508-377-2245
Mailing Address - Fax:
Practice Address - Street 1:12 DOVER CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1548
Practice Address - Country:US
Practice Address - Phone:508-377-2245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical