Active NPIIndividual provider

Mr. Frederic D Bonfiglio, OPHTHALMIC DISPENSER

Technician/Technologist, Optician in Sewell, New Jersey

NPI Number1902931744
Practice location
415 Egg Harbor RD, Suite 14, Sewell, NJ 08080-9211
Fax
856-589-5225
Last updated
December 11, 2008

Frederic D Bonfiglio is a Technician/Technologist, Optician based in Sewell, NJ. Frederic D Bonfiglio practices in Sewell, NJ and has the professional credentials of OPHTHALMIC DISPENSER. The NPI Number for Frederic D Bonfiglio is 1902931744 and holds a License No. 31TD00070800 (NJ). The current practice location address for Frederic D Bonfiglio is 415 Egg Harbor RD, Suite 14, Sewell, NJ 08080-9211 and can be reached out via phone at 856-589-2929 and via fax at 856-589-5225.

Provider Profile Details

NPI Number
1902931744
Provider Name
Frederic D Bonfiglio
Credential
OPHTHALMIC DISPENSER
Provider Entity Type
Individual
Gender
Male
Address
415 Egg Harbor RD, Suite 14, Sewell, NJ 08080-9211
Phone Number
856-589-2929
Fax Number
856-589-5225
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2007
Last Update Date
December 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Egg Harbor RD
Suite 14
Sewell, NJ 08080-9211
City
Sewell
Zip
08080-9211
Phone Number
856-589-2929
Fax Number
856-589-5225
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
415 Egg Harbor RD
Suite 14
Sewell, NJ 08080-9211
City
Sewell
State
NJ
Zip
08080-9211
Phone Number
856-589-2939
Fax Number
856-589-5225

License Information

License Number
31TD00070800
License State
NJ
Taxonomy
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Frederic D Bonfiglio, OPHTHALMIC DISPENSER?

The NPI number of Mr. Frederic D Bonfiglio, OPHTHALMIC DISPENSER is 1902931744. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Frederic D Bonfiglio, OPHTHALMIC DISPENSER?

Mr. Frederic D Bonfiglio, OPHTHALMIC DISPENSER is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number 31TD00070800.

Where does Mr. Frederic D Bonfiglio, OPHTHALMIC DISPENSER practice?

The practice location is 415 Egg Harbor RD, Suite 14, Sewell, NJ 08080-9211. The office can be reached at 856-589-2929 (phone) or 856-589-5225 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902931744 directly on the NPPES registry website.

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