Individual
R WILLIAM BOHONNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
330 MAIN ST STE 101, HARTFORD, CT 06106-1860
(860) 969-1101
Mailing address
1 COCHECO AVE, BRANFORD, CT 06405-5209
(203) 641-9049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10335
CT
207QA0505X
Adult Medicine Physician
10335
CT
363L00000X
Nurse Practitioner
10335
CT
363LF0000X
Family Nurse Practitioner
Primary
10335
CT
Other
Enumeration date
10/21/2019
Last updated
11/12/2025
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