Organization
BONIFACE SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS BONIFACE MD (PRESIDENT)
(330) 758-8183
Entity
Organization
Contact information
Practice address
7600 SOUTHERN BLVD STE 2, YOUNGSTOWN, OH 44512-6085
(330) 758-8183
Mailing address
8042 CAMDEN WAY, CANFIELD, OH 44406-8164
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
08/01/2023
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