Individual
ERIC M BONIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 690-1025
(856) 690-1352
Mailing address
PO BOX 173, MILLVILLE, NJ 08332-0173
(856) 690-1025
(856) 690-1352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207VX0000X
Obstetrics Physician
25MA05346800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000271500
AMERICHOICE
NJ
01
—
675170
AMERIHEALTH
NJ
01
—
CBP024
OXFORD
NJ
01
—
F01985
HEALTHNET
NJ
Enumeration date
07/15/2006
Last updated
09/24/2018
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