Individual
ERIN BUONOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 WEST CHESTNUT ST, BROCKTON, MA 02301
(508) 580-4691
Mailing address
18 JEWETT ST UNIT 2, WATERTOWN, MA 02472-2548
(860) 874-2446
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
966295689
UNITED HEALTHCARE
CT
01
—
XGS0009860173
ANTHEM BLUE CROSS BLUE SHIELD
CT
Enumeration date
10/14/2010
Last updated
10/14/2010
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