Individual
DR. CARLO BUONOMO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 WASHINGTON ST, BOSTON, MA 02111-1520
(617) 355-8382
Mailing address
755 WASHINGTON ST, BOSTON, MA 02111-1520
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30831887
—
MA
Enumeration date
06/04/2006
Last updated
07/08/2007
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