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Individual

DR. CHALLICE L BONIFANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1650 ORLEANS ST # 242, BALTIMORE, MD 21287-0013
(410) 955-2813
(410) 955-8897
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
4301108154
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
D86711
MD

Other

Enumeration date
04/08/2009
Last updated
09/16/2019
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