Individual
MR. FREDERIC D BONFIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
415 EGG HARBOR RD, SUITE 14, SEWELL, NJ 08080-9211
(856) 589-2929
(856) 589-5225
Mailing address
415 EGG HARBOR RD, SUITE 14, SEWELL, NJ 08080-9211
(856) 589-2939
(856) 589-5225
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00070800
NJ
Other
Enumeration date
02/22/2007
Last updated
12/11/2008
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