Provider Demographics
NPI:1669408035
Name:BOBONICH, ARLENE SKURKIS (MD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:SKURKIS
Last Name:BOBONICH
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 1:100 NORTH ACADEMY AVE.
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:503 NORTH 21ST ST.
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17110-8531
Practice Address - Country:US
Practice Address - Phone:717-763-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056474L207R00000X, 207RH0002X
NV18307207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5106062OtherAETNA
PA001536177Medicaid
PA17866OtherGEISINGER
MP545561OtherCAREFIRST MD BCBS
PA0813919000OtherAMERIHEALTH 65 PA
PA104599OtherJOHNS HOPKINS
PA788245OtherHIGHMARK BLUE SHIELD
PA104599OtherJOHNS HOPKINS
PA788245OtherHIGHMARK BLUE SHIELD
MP545561OtherCAREFIRST MD BCBS