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Contact Information

BARTHOLOMEW J BONAZINGA, M.D., F.A.C.C.
12 COMMONS ST
RUTLAND, VT05701
 Phone: 802-747-3600
 Fax: 802-773-8501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BARTHOLOMEW J BONAZINGA · (Male)

NPI Number 1013082098
Status Active
Credentials M.D., F.A.C.C.
Entity Individual
Enumeration date 11/22/2006
Last updated 01/16/2019 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 042-0006395
  • VT Medicaid 0009657
  • VT Other 00005223 BCBS
  • VT Other INTE00048942 BCBS
  • VT Other 926404 MVP
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
  • RUTLAND REGIONAL MEDICAL CENTER - (Acute Care)
    160 ALLEN ST
    RUTLAND, VT 05701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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