Individual
CATHLEEN BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
597 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 937-9700
(978) 446-9830
Mailing address
585-597 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 937-9700
(978) 446-9830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
211266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027404
NEIGHBORHOOD HEALTH PLAN
—
01
—
042881348
ONE HEALTH
—
05
—
1305557
—
MA
01
—
3355263
AETNA
—
01
—
468576
TUFTS
—
01
—
57684
FALLON
—
01
—
9686103
CIGNA
—
01
—
975842
NETWORK HEALTH
—
01
—
AA2914
HARVARD PILGRIM HEALTHCAR
—
01
—
J26603
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/01/2006
Last updated
07/30/2008
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