Provider Demographics
NPI:1972785947
Name:LOAIZA-BONILLA, ARTURO (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:LOAIZA-BONILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W RITTENHOUSE SQ APT 2505
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5770
Mailing Address - Country:US
Mailing Address - Phone:443-799-7346
Mailing Address - Fax:
Practice Address - Street 1:2 CAPITAL WAY STE 220
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2523
Practice Address - Country:US
Practice Address - Phone:609-303-0747
Practice Address - Fax:609-303-0771
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD448417207RH0003X
NJ25MA11518200207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology