Individual
KATHRYN BONESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
32 TRUMBULL ST, NEW HAVEN, CT 06511-6310
(203) 777-5435
Mailing address
32 TRUMBULL ST, NEW HAVEN, CT 06511-6310
(203) 777-5435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18220
CT
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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