Anthony Oliver Bonacorsi in Waterbury - General Practice
Anthony Oliver Bonacorsi - NPI 1437360039
Anthony Oliver Bonacorsi is a General Practice in Waterbury, Connecticut. Anthony Oliver Bonacorsi practices all healthcare services and medical treatments related to General Practice. The NPI Number for Anthony Oliver Bonacorsi is 1437360039. The last update date is 2012-02-29.
Anthony Oliver Bonacorsi's current location address is 80 Phoenix Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037568021 and fax number 2035969038. The mailing address for Anthony Oliver Bonacorsi is 80 Phoenix Ave, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Oliver Bonacorsi |
|---|---|
| Address | 80 Phoenix Ave, Waterbury, Connecticut |
| Phone Number | 2037568021 |
| Fax Number | 2035969038 |
| Sole Proprietor | N |
| Credentials | D,D,S, |
NPI Number Detail
| NPI Number | 1437360039 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2012-02-29 |
Provider Mailing Address Detail
| Address | 80 Phoenix Ave |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67021418 |
| Phone Number | 2037568021 |
| Fax Number | 2035969038 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3859 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Anthony Oliver Bonacorsi by the Centers for Medicare & Medicaid Services?
The Anthony Oliver Bonacorsi has been issued the NPI (National Provider Identifier) 1437360039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Anthony Oliver Bonacorsi is physically located?
The Anthony Oliver Bonacorsi is physically situated at the following address: 80 Phoenix Ave, Waterbury, CT, 67021418.
What is the Anthony Oliver Bonacorsi's area of specialization and corresponding taxonomy classification?
The Anthony Oliver Bonacorsi's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Anthony Oliver Bonacorsi receive its 1437360039 assignment from the Centers for Medicare & Medicaid Services?
The Anthony Oliver Bonacorsi was assigned its 1437360039 by the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date were the Anthony Oliver Bonacorsi's details last updated?
The information pertaining to the Anthony Oliver Bonacorsi, including its address, specialty, and other details, was most recently updated on 2012-02-29.