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Individual

DR. KEITH S BONIFACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2911
Mailing address
7901 KENTBURY DR, BETHESDA, MD 20814-4615
(301) 654-6401

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0057242
MD
207P00000X
Emergency Medicine Physician
Primary
MD32948
DC

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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