Provider Demographics
NPI:1972763548
Name:BONSU, CANDY KYEWAA (MD)
Entity type:Individual
Prefix:DR
First Name:CANDY
Middle Name:KYEWAA
Last Name:BONSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CANDY
Other - Middle Name:KYEWAA
Other - Last Name:ANIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 S. WASHINGTON STREET
Mailing Address - Street 2:DEPT OF ANESTH
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601
Mailing Address - Country:US
Mailing Address - Phone:609-955-4626
Mailing Address - Fax:
Practice Address - Street 1:125 PATTERSON ST
Practice Address - Street 2:RUTGERS UNIVERSITY- RWJMS DEPT OF ANESTHESIA
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:609-955-4626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09275900207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine