Gary Bonfante, DO
Emergency Medicine in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1063457182
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1063457182
- Entity type
- Individual (NPI-1)
- Name
- Gary Bonfante
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | OS008555L | PA | Yes |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-7762 · Fax 570-808-6128
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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