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Individual
DR. JEFFREY FRANK BONADIO
Active
Individual
DR. JEFFREY FRANK BONADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
G87022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G870220
BLUE SHIELD
CA
05
—
00G870220
—
CA
01
—
WG87022A
MEDICARE PTAN
CA
Enumeration date
02/04/2007
Last updated
05/05/2009
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