Bonta, Marco J

Bonta, Marco J is an individual health care provider with primary practice located at 3555 Olentangy River Rd Riverside Trauma Services Suite 13617, Columbus OH 43214-3912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bonta, Marco J can be contacted via phone (614) 566-2540.

Contact Information

Primary practice address
3555 Olentangy River Rd Riverside Trauma Services Suite 13617 Columbus OH 43214-3912
Phone: (614) 566-2540
Fax: (614) 566-6692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35049331 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35049331 Ohio

Profile Details

NPI number 1295704161
LBN Legal business name Bonta, Marco J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295704161 NPPES
Ohio MEDICAID 0700469

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