Mary Ann Boniface, M.D.
Student in an Organized Health Care Education/Training Program in Fairfield, OH. Individual provider (NPI-1).
NPI number1407643174
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1407643174
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Ann Boniface
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2025
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3000 Mack Road, Mercy Health - Fairfield HospitalFairfield, OH 45014
Phone 513-870-7000
Mailing address
3000 Mack Road, Mercy Health - Fairfield HospitalFairfield, OH 45014
Phone 513-870-7000
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