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1336193515 NPI number — RICHARD PAUL BONFIGLIO M.D.

NPI Number: 1336193515
Health Care Provider/Practitioner: RICHARD PAUL BONFIGLIO M.D.

Information about “1336193515” NPI (RICHARD PAUL BONFIGLIO M.D.) exists in 1336193515 in HTML format HTML  |  1336193515 in plain Text format TXT  |  1336193515 in PDF (Portable Document Format) PDF  |  1336193515 in an XML format XML  formats.

NPI Number : 1336193515 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336193515",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BONFIGLIO",
    "FirstName": "RICHARD",
    "MiddleName": "PAUL",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BONFIGLIO",
    "OtherFirstName": "RICHARD",
    "OtherMiddleName": "P",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 551",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRYSVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15668-0551",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-327-8255",
    "MailingAddressFaxNumber": "724-325-2783",
    "FirstLinePracticeLocationAddress": "5620 WILLIAM PENN HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRYSVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15632-9035",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-327-8255",
    "PracticeLocationAddressFaxNumber": "724-325-2783",
    "EnumerationDate": "05/20/2006",
    "LastUpdateDate": "09/19/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "MD-025969E",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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