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1891220521
ERICA BONAVITACOLA
PHILADELPHIA, PA
NPI
1891220521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA058908)
Enumeration Date
2017-05-01
Last Update Date
2018-11-14
Business Address
ERICA BONAVITACOLA PA-C
800 SPRUCE ST
PHILADELPHIA, PA 19107-5176
Phone number: 215-829-3000
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Mailing Address
ERICA BONAVITACOLA PA-C
800 SPRUCE ST
PHILADELPHIA, PA 19107-5176
Phone number: 215-829-3000
Copy
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