# DR. JOHN ANTHONY BUONOCORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992801492
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 182693 | NY | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 02004457A | IN | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 182693 | NY | — |
| 208VP0014X | Interventional Pain Medicine Physician | 3411255 | OH | — |
| 208VP0014X | Interventional Pain Medicine Physician | 5101020847 | MI | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 04/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0103569 | — | OH |
| 05 | — | 1992801492 | — | MI |