Edward John Bonavilla in Rochester - Foot & Ankle Surgery
Edward John Bonavilla - NPI 1629030960
Edward John Bonavilla is a Foot & Ankle Surgery in Rochester, New York. Edward John Bonavilla practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Edward John Bonavilla is 1629030960. The last update date is 2007-07-08.
Edward John Bonavilla's current location address is 490 Titus Ave, Rochester, New York. You can contact this provider via phone number 5855443620 and fax number 5855444567. The mailing address for Edward John Bonavilla is 490 Titus Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward John Bonavilla |
|---|---|
| Address | 490 Titus Ave, Rochester, New York |
| Phone Number | 5855443620 |
| Fax Number | 5855444567 |
| Sole Proprietor | X |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1629030960 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 490 Titus Ave |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146173541 |
| Phone Number | 5855443620 |
| Fax Number | 5855444567 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 2178 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Edward John Bonavilla?
The Edward John Bonavilla has been issued the NPI (National Provider Identifier) 1629030960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Edward John Bonavilla is physically located?
The Edward John Bonavilla is situated at the following address: 490 Titus Ave, Rochester, NY 146173541.
What is Edward John Bonavilla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward John Bonavilla's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629030960 to Edward John Bonavilla?
The Centers for Medicare & Medicaid Services assigned the 1629030960 to Edward John Bonavilla on 2006-04-03.
When was the information pertaining to Edward John Bonavilla most recently updated or revised?
The details related to Edward John Bonavilla, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.