Individual
ROBERT BONANNO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
697 CAMBRIDGE ST, BRIGHTON, MA 02135-2897
(617) 782-5700
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5485
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38352
MA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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