Provider Demographics
NPI:1376668194
Name:BONNECARRERE, EMMANUEL RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:RICHARD
Last Name:BONNECARRERE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6900 GEORGIA AVE NW
Mailing Address - Street 2:PLASTIC AND RECONSTRUCTIVE SURGERY SERVICE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0003
Mailing Address - Country:US
Mailing Address - Phone:202-782-6560
Mailing Address - Fax:202-782-8369
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:PLASTIC AND RECONSTRUCTIVE SURGERY SERVICE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-6560
Practice Address - Fax:202-782-8369
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0055804208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery