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Contact Information

BONNIE L PADWA, DMD, MD
300 LONGWOOD AVE
HU-158
BOSTON, MA02115-5724
 Phone: 617-355-6259
 Fax: 617-738-1657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for BONNIE L PADWA · (Female)

NPI # 1558351866
Status Active
Credentials DMD, MD
Entity Individual
Enumeration date 10/27/2005
Last updated 10/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 17008
  • MA License # 75473
  • MA Medicaid 3101207
  • MA Other J13074 BCBS MA
  • MA Other 730778 TUFTS HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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