Doctor Name: | DR. IRVIN R BONNIN |
NPI Number: | 1013013226 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 19045 |
Business Practice Address: | 991 W Hudson Blvd Gastonia, NC - 280526430 |
Business Phone Number: | 7048535000 |
Business Fax Number: | 7048626194 |
Mailing Address: | 991 W Hudson Blvd, GASTONIA |
State: | NC |
Postal Code: | 280526430 |
Phone Number: | 7048535000 |
Fax Number: | 7048626194 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 02/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 19045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |