Individual
ANTHONY BONAMINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC 20902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189433
MEDCOST
SC
01
—
20057403
SELECT HEALTH
SC
05
—
209028
—
SC
01
—
576000934-097
TRICARE
SC
05
—
89065VC
—
NC
Enumeration date
04/26/2006
Last updated
01/08/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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