Provider Demographics
NPI:1326029463
Name:BIDINGER, BONNIE J (MD)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:J
Last Name:BIDINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9 INDUSTRIAL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3588
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:12 UXBRIDGE RD
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:MA
Practice Address - Zip Code:01756-1094
Practice Address - Country:US
Practice Address - Phone:508-634-6825
Practice Address - Fax:508-634-6829
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2013-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA209206207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2038447Medicaid
MA2038447Medicaid
MAI03734Medicare UPIN