Robert Bonanno MD

NPI 1629011531 - Specialist - 174400000X

NPI Details
NPI 1629011531
Gender Male
Enumeration Date 06/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
697 CAMBRIDGE ST
BRIGHTON MA, 02135-2897, US
Phone (617) 782-5700
Fax
Business Location
77 WARREN ST
BRIGHTON MA, 02135-3601, US
Phone (617) 562-5485
Fax (617) 562-5415
Toxanomy
Taxonomy Code 174400000X
License State Massachusetts
License Number 38352
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According to our database, Robert Bonanno MD NPI is 1629011531, taxonomy code is 174400000X and license number is 38352, license state is located at Massachusetts. Robert Bonanno MD physically located at 697 Cambridge St, Brighton MA, 02135-2897. NPI Number Robert Bonanno MD has the Individual type.

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1629011531 NPI number is provided on an as is basis without warranty of any kind. 1629011531 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Bonanno MD are for informational purposes only.