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NPI Verification

National Provider Identifier: 1043582406

Bonifacio Tan Aguilera, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

307 TERLYN DRIVE

JOHNSTOWN, PA 15904

Phone: 814-467-6378

NPI Enumeration Date

February 1, 2012

NPI Number

1043582406

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry