Individual
MICHAEL BONIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.SC.
Contact information
Practice address
1111 CROMWELL AVE STE 404, ROCKY HILL, CT 06067-3455
(860) 525-4469
Mailing address
1111 CROMWELL AVE STE 404, ROCKY HILL, CT 06067-3455
(860) 525-4469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
70647
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
70647
CT
Other
Enumeration date
06/28/2016
Last updated
05/15/2023
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