DR. BONIFASIYO SSENNYAMANTONO, MD
Internal Medicine - Cardiovascular Disease
Active
Individual
NPI: 1902813678
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Cardiovascular Disease | 207RC0000X | Yes | 35788 (AZ) |
Frequently Asked Questions
NPI 1902813678 is the National Provider Identifier for DR. BONIFASIYO SSENNYAMANTONO, MD, a Internal Medicine - Cardiovascular Disease provider located in Avondale, AZ. This NPI was enumerated on August 2, 2006.
DR. BONIFASIYO SSENNYAMANTONO, MD practices at 10815 W MCDOWELL RD, SUITE 202, Avondale, AZ 85392.
Quick Facts
- NPI
- 1902813678
- Type
- Individual
- Enumerated
- Aug 2, 2006
- Last Updated
- Jul 31, 2024
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