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Individual
GARY BONFANTE
Active
Individual
GARY BONFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008555L
PA
Other
Enumeration date
06/20/2006
Last updated
08/12/2019
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