Individual
DR. CHARLES A. BONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 ALBANY TPKE, CANTON VILLAGE, CANTON, CT 06019-2520
(860) 639-2289
(860) 693-1835
Mailing address
PO BOX 14, CANTON VILLAGE, CANTON, CT 06019-0014
(860) 693-2289
(860) 693-1835
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000763
CT
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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