DR. Bonifasiyo K. Ssennyamantono, MD

NPI #1902813678 in Avondale, Arizona

Provider Information

NPI Number
1902813678
Entity Type
Individual
Name
DR. Bonifasiyo K. Ssennyamantono, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Cardiovascular Disease
Credential
MD
Enumeration Date
Aug 2, 2006
Last Updated
Jul 31, 2024

Practice Location

Address
10815 W MCDOWELL RD
Address 2
SUITE 202
State
Arizona
ZIP Code
85392-5007
Phone
(623) 433-0202

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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