Individual
DR. STEVEN J BONAUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 REGENCY PLZ, SUITE 4, PROVIDENCE, RI 02903-3160
(401) 351-0236
(401) 351-5005
Mailing address
2 REGENCY PLZ, SUITE 4, PROVIDENCE, RI 02903-3160
(401) 351-0236
(401) 351-5005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
78747
MA
2084P0800X
Psychiatry Physician
Primary
MD08629
RI
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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