Individual provider · Type 1 NPI

Nicholas Bonomo

Surgical Physician Assistant · Waterbury, CT

NPI number 1386975571 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1253

Call (203) 709-6000 Map

Mailing address

46 S Cherry St, Unit 244
Wallingford, CT 06492-3596

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1090862 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1386975571

Nicholas Bonomo's National Provider Identifier is 1386975571, issued on Jan 27, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Oct 19, 2021.