Individual
JOSEPH E BONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27063
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276039
—
CO
01
—
220009129
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
05/08/2012
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