| Doctor Name: | DR. ANTHONY SIMON BONAVIA |
| NPI Number: | 1003058264 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD452274 |
| Business Practice Address: | 500 University Dr Box 3951, Davison Bldg, Trent Drive Hershey, PA - 170332360 |
| Business Phone Number: | 7175318521 |
| Business Fax Number: | |
| Mailing Address: | 500 University Dr, HERSHEY |
| State: | PA |
| Postal Code: | 170332360 |
| Phone Number: | 7175318521 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2009 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LC0200X |
| License Number: | MD452274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |