JANE M BONIFAS CP

Dr JANE M BONIFAS CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1994.

Contact

13731 CONVERSE ROSELM RD
VENEDOCIA
OH
458949532

Tel: 4192306368

JANE M BONIFAS CP Information

Npi 1326022963
Pac Id 8729026075
Professional Enrollment Id I20050419000210
Last Name BONIFAS
First Name JANE
Middle Name M
Suffix
Gender F
Credential CP
Medical School Name OTHER
Graduation Year 1994
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 13731 CONVERSE ROSELM RD
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Marker Of Address Line 2 Suppression
City VENEDOCIA
State OH
Zip Code 458949532
Phone Number 4192306368
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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