Jaclyn Bonnafoux, DMSc PA-C
Physician Assistant in Paramus, NJ. Individual provider (NPI-1).
NPI number1154870202
StatusActive
Last updated in NPPESMay 6, 2025
Details
- NPI
- 1154870202
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Bonnafoux
- Credential
- DMSc PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2016
- Certification date
- May 6, 2025
- Last updated
- May 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00410400 | NJ | Yes |
Practice location
230 E Ridgewood AveParamus, NJ 07652-4142
Phone 201-398-8368
Mailing address
230 E Ridgewood AveParamus, NJ 07652-4142
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