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1174618409
GRANT HOWARD BONAVIA
BETHESDA, MD
NPI
1174618409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: VA 0101237017)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
DR. GRANT HOWARD BONAVIA M.D.
8901 WISCONSIN AVE
BETHESDA, MD 20889-0001
Phone number: 301-295-5050
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Mailing Address
DR. GRANT HOWARD BONAVIA M.D.
4412 SAUL RD
KENSINGTON, MD 20895-3731
Phone number: 301-761-3073
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