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1902931744
FREDERIC D BONFIGLIO
SEWELL, NJ
NPI
1902931744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NJ 31TD00070800)
Enumeration Date
2007-02-22
Last Update Date
2008-12-11
Business Address
Mr. FREDERIC D BONFIGLIO ophthalmic dispenser
415 EGG HARBOR RD SUITE 14
SEWELL, NJ 08080-9211
Phone number: 856-589-2929
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Mailing Address
Mr. FREDERIC D BONFIGLIO ophthalmic dispenser
415 EGG HARBOR RD SUITE 14
SEWELL, NJ 08080-9211
Phone number: 856-589-2939
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