Individual
DR. MARK A BUONO
Active
Individual
DR. MARK A BUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01066054A
IN
207L00000X
Anesthesiology Physician
ME82105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000597628
ANTHEM PROVIDER NUMBER
IN
05
—
200927220
—
IN
05
—
266892100
—
FL
01
—
5124638
AETNA
FL
01
—
58790
BSFL
FL
01
—
59168214
BSAL
FL
Enumeration date
01/04/2006
Last updated
02/01/2021
Update your record
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