Individual
DR. GREGORY S. BONAIUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 318, HARTFORD, CT 06106-5501
(860) 493-1950
(860) 493-1961
Mailing address
PO BOX 586, WINDSOR, CT 06095-0586
(860) 493-1950
(860) 493-1961
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
035778
CT
207YX0602X
Otolaryngic Allergy Physician
035778
CT
Other
Enumeration date
09/27/2005
Last updated
05/23/2011
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