JAMES R. BONNER, MD, INC
Medical Practice at Reservoir Ave, Cranston, RI

License number
Rhode Island MD08084
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. JAMES ROY BONNER M.D.
Title: OWNER
Phone: (401) 943-9222
Address
Address
1150 Reservoir Ave SUITE 205, Cranston, RI 02920
National Provider ID: 1841301074
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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James R. Bonner, M.D., Inc

1150 Reservoir Ave, Cranston, RI 02920

Industry:
TO ENGAGE IN THE PRACTICE OF MEDICINE.
Registration:
Aug 7, 1998
State ID:
000101967
Business type:
Domestic Profit Corporation
PRESIDENT:
James R Bonner (PRESIDENT), 3 Brookfield Ct, East Greenwich, RI 02818 (Physical)
Agent:
Stephen D. Zubiago, Esq,Nixon Peabody Llp, Providence, RI 02903 (Physical)

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