Individual
MR. BRENT JAMES BONFIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3550 MAIN ST, SPRINGFIELD, MA 01107-1089
(413) 858-7400
(413) 746-0380
Mailing address
3550 MAIN ST, SPRINGFIELD, MA 01107-1089
(413) 858-7400
(413) 746-0380
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2288861
MA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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