Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD465443 | PA |
N | 207QA0401X | Family Doctor - Addiction Medicine | MD465443 | PA |
NPI | 1063642361 |
---|---|
Provider Name | Curtis William Bone |
First Address | Hershey, PA 17033-0858 |
Second Address | Philadelphia, PA 19104-5544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 18/02/2021 |