Melissa Bonilla in Bridgeport - Physician Assistant
Melissa Bonilla - NPI 1578562526
Melissa Bonilla is a Physician Assistant in Bridgeport, Connecticut. Melissa Bonilla practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melissa Bonilla is 1578562526. The last update date is 2010-07-21.
Melissa Bonilla's current location address is 471 Barnum Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033336864 and fax number 2033320376. The mailing address for Melissa Bonilla is 471 Barnum Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Bonilla |
|---|---|
| Address | 471 Barnum Ave, Bridgeport, Connecticut |
| Phone Number | 2033336864 |
| Fax Number | 2033320376 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1578562526 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2010-07-21 |
Provider Mailing Address Detail
| Address | 471 Barnum Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66082409 |
| Phone Number | 2033336864 |
| Fax Number | 2033320376 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1589 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1589 | CT | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa Bonilla?
The Melissa Bonilla has been issued the NPI (National Provider Identifier) 1578562526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Melissa Bonilla?
The Melissa Bonilla is physically situated at 471 Barnum Ave, in the city of Bridgeport, state of CT, with the postal code 66082409.
What is Melissa Bonilla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melissa Bonilla's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Melissa Bonilla receive its 1578562526 assignment?
The Melissa Bonilla was assigned its 1578562526 on 2005-07-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Melissa Bonilla's details last updated?
The information pertaining to the Melissa Bonilla, including its address, specialty, and other details, was most recently updated on 2010-07-21.