Organization
DINO R BONI JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DINO R. BONI JR. MD (MD)
(724) 345-3745
Entity
Organization
Contact information
Practice address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 233-9314
Mailing address
1953 BRUSH RUN RD, AVELLA, PA 15312-2004
(724) 345-3745
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002778000
—
WV
Enumeration date
05/07/2008
Last updated
05/12/2008
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