Individual
MR. KYLE BONURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 RESERVOIR OFFICE PARK STE 110, SOUTHBURY, CT 06488-3926
(203) 262-9979
(203) 262-9917
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4404
(203) 785-4580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3615
CT
Other
Enumeration date
05/30/2016
Last updated
11/14/2017
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