Provider Demographics
NPI:1235165630
Name:BONITA, CATHERINE HYUN (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HYUN
Last Name:BONITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 BETHLEHEM PIKE
Mailing Address - Street 2:SUITE A106
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031
Mailing Address - Country:US
Mailing Address - Phone:215-836-1700
Mailing Address - Fax:215-836-2705
Practice Address - Street 1:1811 BETHLEHEM PIKE
Practice Address - Street 2:SUITE A106
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031
Practice Address - Country:US
Practice Address - Phone:215-836-1700
Practice Address - Fax:215-836-2705
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429026208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics