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BONIFASIYO SSENNYAMANTONO, MD
MD
Cardiovascular Disease Physician
NPI: 1902813678IndividualAccepts Medicare
Specialties, Licenses & Credentials
Cardiovascular Disease PhysicianPrimary
Internal Medicine — Cardiovascular Disease
Code: 207RC0000X
35788(AZ)
CMS Specialties
PrimaryCARDIOVASCULAR DISEASE (CARDIOLOGY)
Education
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Class of 2000
Contact & Hours
- Address
- 10815 W MCDOWELL RD, SUITE 202
AVONDALE, AZ 85392 - Phone
- (623) 433-0202
Quick Facts
- NPI
- 1902813678
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 26
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