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Individual

ALDO A BUONANNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3660 ROME DR, LAFAYETTE, IN 47905-4488
(765) 446-9394
(765) 447-8875
Mailing address
3925 ABBOTSFORD DR, WESTFIELD, IN 46074-2233
(765) 446-9394
(765) 447-8875

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01029713
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100189010B
IN
Enumeration date
07/05/2006
Last updated
07/19/2010
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