Individual
ALICE E. BONITATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 302B, RIVERSIDE, RI 02915-2232
(401) 649-4070
(401) 649-4071
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
(401) 784-4902
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD07995
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD07995
RI
Other
Enumeration date
05/20/2006
Last updated
09/13/2016
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