Dr. Arnulfo B Bonavente, M.D.
Family Medicine in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1619973534
StatusActive
Last updated in NPPESDec 20, 2016
Details
- NPI
- 1619973534
- Entity type
- Individual (NPI-1)
- Name
- Dr. Arnulfo B Bonavente
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2005
- Last updated
- Dec 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0045630 | MD | Yes |
Practice location
6409 Crain HwyRoute 301
Upper Marlboro, MD 20772-4139
Phone 301-952-8614 · Fax 301-627-1603
Mailing address
10403 Hospital DrSte G4
Clinton, MD 20735-3137
Phone 301-856-3019 · Fax 301-856-9370
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