Organization
BON-CLIFF
Active
Other names
Bon Cliff Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BONIFACE O. EGUZOUWA (OWNER/ADMINISTRATOR)
(717) 786-1462
Entity
Organization
Contact information
Practice address
56 SCHELLER ROAD, NEW PROVIDENCE, PA 17560
(717) 786-1462
(717) 786-9135
Mailing address
56 SCHELLER ROAD, NEW PROVIDENCE, PA 17560
(717) 786-1462
(717) 786-9135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012398810001
—
PA
Enumeration date
08/01/2006
Last updated
12/02/2010
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