Dr. Jeffrey Bonneville, DMSCMSLPO
Dr. Jeffrey Bonneville, DMSCMSLPO is an Orthotist in Boston, Massachusetts. Licensed in Illinois and Pennsylvania. Registered with an NPI since 2017.
- Licensed in
- IL, PA
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
150 S Huntington AveBoston, MA 02130-4817
Phone: (857) 364-6962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence OH000281 (PA) |
|---|---|
| Prosthetist | Taxonomy 224P00000X · Licence PO000194 (PA) |
| Prosthetist | Taxonomy 224P00000X · Licence 211.000165 (IL) |
Record details
| NPI number | 1366973463 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMSCMSLPO |
| Sole proprietor | No |
| NPI enumerated | March 21, 2017 |
| Last updated in NPPES | March 21, 2017 |
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