Individual
DR. GEORGE C. BONIFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 HAMBURG TPKE STE 207, WAYNE, NJ 07470-2160
(973) 653-3366
(973) 653-3365
Mailing address
1776 RICHMOND RD., TOP FLOOR, STATEN ISLAND, NY 10306
(718) 226-4140
(718) 226-5776
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
280320
NY
Other
Enumeration date
02/14/2014
Last updated
09/19/2024
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