Individual provider · Type 1 NPI

Raphael Edward Bonita, MD

Cardiovascular Disease Physician · Philadelphia, PA

NPI number 1790973147 Active

Practice location

925 Chestnut St, Mezzanine Level
Philadelphia, PA 19107-4216

Fax (215) 955-1174

Mailing address

5501 Old York Road, Korman, Suite 202
Phialdelphia, PA 19141-3018

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XMD428378 (PA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1790973147

Raphael Edward Bonita, MD's National Provider Identifier is 1790973147, issued on Oct 11, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 22, 2017.