Individual
JASON J BOFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 S 8TH ST, SUITE 1B, PHILADELPHIA, PA 19106-4000
(215) 829-5354
(215) 829-7132
Mailing address
301 S. 8TH STREET, STE. 1B, DUNCAN BLDG., PHILADELPHIA, PA 19104-2614
(215) 829-5354
(215) 829-7132
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD423659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010042030001
—
PA
Enumeration date
10/13/2005
Last updated
11/29/2012
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