Individual
RAYMOND JOHN BONIFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE FL 2, YOUNGSTOWN, OH 44504-1006
(330) 480-3990
(330) 480-3522
Mailing address
1044 BELMONT AVE FL 2, YOUNGSTOWN, OH 44504-1006
(330) 480-3990
(330) 480-3522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OH35056633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701182
—
OH
Enumeration date
06/05/2006
Last updated
10/15/2024
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