Individual
SUNITA SIDHU-BUONOCORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 887-9003
Mailing address
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 887-9003
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
48684
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9593541
AETNA
CT
01
—
D400021782
MEDICARE PTAN
—
01
—
P01052399
MEDICARE RAILROAD
—
01
—
P4244379
OXFORD
CT
Enumeration date
04/30/2010
Last updated
11/12/2012
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