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Individual
MR. JOSEPH BONANNO
Active
Individual
MR. JOSEPH BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
187793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187793
LICENSE NUMBER
NY
01
—
P714659
OXFORD NUMBER
—
Enumeration date
11/06/2006
Last updated
06/11/2013
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