Healthcare Provider Details

I. General information

NPI: 1326029463
Provider Name (Legal Business Name): BONNIE J BIDINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 UXBRIDGE RD
MENDON MA
01756-1094
US

IV. Provider business mailing address

9 INDUSTRIAL RD SUITE 5
MILFORD MA
01757-3588
US

V. Phone/Fax

Practice location:
  • Phone: 508-634-6825
  • Fax: 508-634-6829
Mailing address:
  • Phone: 508-473-1480
  • Fax: 508-473-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number209206
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: