Individual
DR. TRAVIS DANIEL BONTRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-1734
(475) 246-9106
Mailing address
20 YORK ST STE CB2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
88692
GA
208M00000X
Hospitalist Physician
Primary
77676
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
01/09/2025
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