Individual
LAURA BONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 CRESCENT ST, MIDDLETOWN, CT 06457-3601
(860) 344-9993
(860) 344-0346
Mailing address
49 CRESCENT ST, MIDDLETOWN, CT 06457-3601
(860) 344-9993
(860) 344-0346
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
046796
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046796
STATE LICENSE
CT
Enumeration date
01/24/2007
Last updated
06/03/2010
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