Individual provider · Type 1 NPI

Robin Edwards Bonomi, MD

Military Health Care Provider · Portsmouth, VA

NPI number 1306465406 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice locations

  • 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3078 · (757) 395-1850

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed
Psychiatry Physician 2084P0800X0101282957 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1306465406

Robin Edwards Bonomi, MD's National Provider Identifier is 1306465406, issued on Apr 9, 2020. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Oct 29, 2024.