National Provider Identifier Database

NICHOLAS BONOMO
Surgical


Contact Information

NICHOLAS BONOMO
56 FRANKLIN ST
WATERBURY, CT06706-1253
Phone: 203-709-6000
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for NICHOLAS BONOMO

NPI Number 1386975571
Credentials
Entity Individual
Enumeration date 01/27/2010
Last updated 10/19/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 1090862
Hospital affiliation n/a

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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