Individual
HUGO BONATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 W REDWOOD ST STE 300, BALTIMORE, MD 21201
(667) 214-1718
(410) 328-5919
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1734
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
0109542048
VA
204F00000X
Transplant Surgery Physician
D75969
MD
208600000X
Surgery Physician
Primary
D75969
MD
390200000X
Student in an Organized Health Care Education/Training Program
0109542048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861609869
—
VA
Enumeration date
05/17/2007
Last updated
05/20/2024
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