Charles Edward Bonfanti in Taos - Physician Assistant
Charles Edward Bonfanti - NPI 1295792570
Charles Edward Bonfanti is a Physician Assistant in Taos, New Mexico. Charles Edward Bonfanti practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Edward Bonfanti is 1295792570. The last update date is 2017-02-03.
Charles Edward Bonfanti's current location address is 630 Paseo Del Pueblo Sur, Taos, New Mexico. You can contact this provider via phone number 5757583005 and fax number 5757587010. The mailing address for Charles Edward Bonfanti is 630 Paseo Del Pueblo Sur, Taos, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Edward Bonfanti |
|---|---|
| Address | 630 Paseo Del Pueblo Sur, Taos, New Mexico |
| Phone Number | 5757583005 |
| Fax Number | 5757587010 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1295792570 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2017-02-03 |
Provider Mailing Address Detail
| Address | 630 Paseo Del Pueblo Sur |
|---|---|
| City | Taos |
| State | New Mexico (NM) |
| Post Code | 875716070 |
| Phone Number | 5757583005 |
| Fax Number | 5757587010 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 75-PA002 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles Edward Bonfanti by the Centers for Medicare & Medicaid Services?
The Charles Edward Bonfanti has been assigned the NPI (National Provider Identifier) 1295792570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Charles Edward Bonfanti?
The Charles Edward Bonfanti is situated at 630 Paseo Del Pueblo Sur, in the city of Taos, state of NM, with the zip code 875716070.
Could you please share the complete physical address where Charles Edward Bonfanti is geographically located?
The Charles Edward Bonfanti is physically situated at the following location: 630 Paseo Del Pueblo Sur, Taos, NM, 875716070.
What is Charles Edward Bonfanti's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Edward Bonfanti is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
As of what date were the details pertaining to Charles Edward Bonfanti last refreshed?
The information related to the Charles Edward Bonfanti, including its address, specialty, and other relevant details, was last updated on 2017-02-03.