Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD441958 | PA |
NPI | 1023269073 |
---|---|
Provider Name | Jason S Bonslaver |
First Address | York, PA 17402-8200 |
Second Address | York, PA 17402-8200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 06/09/2011 |