Individual
NELSON A BONHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W PUTNAM AVE, SUITE 100, GREENWICH, CT 06830-6086
(203) 863-2900
(203) 863-2901
Mailing address
500 W PUTNAM AVE, SUITE 100, GREENWICH, CT 06830-6086
(203) 863-2900
(203) 863-2901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
017080
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017080
COMMERCIAL
CT
05
—
1170802
—
CT
Enumeration date
11/14/2006
Last updated
09/24/2010
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