NPI 1043582406 · live from the CMS NPI Registry
Bonifacio Tan Aguilera, M.D.
Family Medicine in Johnstown, PA. National Provider Identifier 1043582406, active.
NPI record
| NPI | 1043582406 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 307 Terlyn Drive, Johnstown, PA 15904 |
| Practice phone | 814-467-6378 |
| Enumerated | February 1, 2012 |
| Last updated | February 1, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 17585E (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.