Individual
DR. FERDINANDO S BUONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, ACC720 NEUROLOGY ASSOCIATES, BOSTON, MA 02114-3117
(617) 726-8459
(617) 726-5043
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
44613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140198
—
MA
01
—
703787
TUFTS HEALTH PLAN
MA
01
—
E05188
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
10/22/2011
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