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Individual
DR. JONATHAN D BORNFREUND
Active
Individual
DR. JONATHAN D BORNFREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0708
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153867800
DEPARTMENT OF LABOR
SC
01
—
193683
MEDCOST
SC
01
—
7198502
CIGNA
SC
01
—
P00057006
RAILROAD MEDICARE
SC
Enumeration date
03/27/2006
Last updated
09/09/2008
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