Organization
ALESSANDRA BUONOPANE MD PSYCHIATRY AND ADDICTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALESSANDRA BUONOPANE M.D. (OWNER)
(203) 640-9185
Entity
Organization
Contact information
Practice address
192 S MAIN ST, MIDDLETOWN, CT 06457-3727
(860) 347-2366
(860) 347-1525
Mailing address
192 S MAIN ST, MIDDLETOWN, CT 06457-3727
(860) 347-2366
(860) 347-1525
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
039423
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H52712
—
CT
Enumeration date
09/23/2011
Last updated
09/23/2011
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