Padwa, Bonnie L
Padwa, Bonnie L is an individual health care provider with primary practice located at 300 Longwood Ave Hu-158, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Padwa, Bonnie L can be contacted via phone (617) 355-6259.Contact Information
Primary practice address
300 Longwood Ave Hu-158
Boston MA 02115-5724
Phone: (617) 355-6259
Fax: (617) 738-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 75473 | Massachusetts |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 17008 | Massachusetts |
Profile Details
| NPI number | 1558351866 |
|---|---|
| LBN Legal business name | Padwa, Bonnie L |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Oct 21st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558351866 | NPPES |
| Massachusetts | Other | J13074 | BCBS MA |
| Massachusetts | Other | 730778 | BCBS MA |
| Massachusetts | MEDICAID | 3101207 | BCBS MA |
Popular Providers
-
Seldin, Edward Bert
15 Parkman St Wac 230, Boston MA 02114-3117 -
Afshar, Salim
300 Longwood Ave , Boston MA 02115-5724 -
Campanella, Lisa
55 Fruit Street Cpz 401 Massachusetts General Hospital, Boston MA 02114 -
Resnick, Cory M
300 Longwood Ave. Boston Children'S Hospital, Dpt. Of Plastic & Oral Surg, Boston MA 02171 -
Kaban, Leonard Bruce
15 Parkman St Wac 230 Oral And Maxillofacial Surgery, Boston MA 02114-3117 -
Donoff, Robert Bruce
15 Parkman St Wac 230, Boston MA 02114-3117 -
Salama, Andrew Raymond
100 E Newton St Suite 4G07, Boston MA 02118-2308 -
Keith, David Alexander
15 Parkman St Wac 230 Oral And Maxillofacial Surgery, Boston MA 02114-3117