Individual
JOHN PAUL BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD FL G, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8699
(908) 673-7388
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
25MA08115900
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08115900
NJ
Other
Enumeration date
04/18/2006
Last updated
05/09/2022
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