Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BONOMO
ActiveNICHOLAS BONOMO is a Surgical Physician Assistant healthcare provider located in WATERBURY, Connecticut. NPI 1386975571 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WATERBURY, CT
Registration Details
- NPI Number
- 1386975571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2010 (16.536383115811 yrs)
- Last Updated
- Oct 19, 2021
- License
-
1090862 (CT)
Practice Information
- Address
-
56 FRANKLIN STWATERBURY, CT, 067061253Browse CT providers · Browse ZIP 06706
- Phone
- 2037096000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WATERBURY, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. JOAN M DOBACK | PA-C | 1902888936 |
| CHRISTINE R. DUNBAR | PA-C | 1194773358 |
| LISA MARIE TANGUAY | PA | 1659307916 |
| RENEY C THOMAS | PA | 1881623221 |
| EDWARD A SOLTESZ | PA | 1962428771 |
| MICHAEL J NOLAN | PA | 1386664787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.