Individual
DR. ANTHONY ROBERT BUONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919-3228
(401) 351-6200
(401) 351-6201
Mailing address
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919-3228
(401) 351-6200
(401) 351-6201
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD05345
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000364
BLUECHIP OF RI
RI
01
—
050397249
MULTIPLANS
—
01
—
0900138
UNITEDHEALTHCARE
—
01
—
103714900
U.S. DEPT. OF LABOR-WC
—
01
—
2287
BC BS OF RI
RI
01
—
27239
NEIGHBORHOOD HEALTH PLANS
RI
01
—
3179262-0001
CIGNA
—
01
—
4392040
AETNA
—
05
—
AB-01884
—
RI
01
—
CD1829
RAILROAD MEDICARE
—
01
—
R000315/050397249
TRICARE
—
01
—
RI5354/050397249
WORKERS COMPENSATION PLAN
—
Enumeration date
05/02/2006
Last updated
04/08/2009
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