Vincent Anthony Bonanno, MD

NPI #1447225735 in Wpafb, Ohio

Provider Information

NPI Number: 1447225735
Entity Type: Individual
Name: Vincent Anthony Bonanno, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wpafb
State: Ohio
ZIP Code: 45433-5546
Phone: (937) 257-9926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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