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Individual

DR. VINCENT M BUONANNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4 DEARFIELD DR, SUITE 105, GREENWICH, CT 06831-5351
(120) 366-1669
(120) 366-1187
Mailing address
4 DEARFIELD DR, SUITE 105, GREENWICH, CT 06831-5351
(120) 366-1669
(120) 366-1187

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
270
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222346845
TAX ID
CT
Enumeration date
03/30/2007
Last updated
04/22/2009
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