Individual
DR. MELISSA BONASERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 IMPERIAL AVE, WESTPORT, CT 06880-4303
(203) 682-0907
(203) 682-0258
Mailing address
PO BOX 756, HAWLEYVILLE, CT 06440-0756
(203) 682-0907
(203) 682-0258
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
045981
CT
Other
Enumeration date
01/03/2008
Last updated
02/17/2012
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