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1386975571
NICHOLAS BONOMO
WATERBURY, CT
NPI
1386975571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 1090862)
Enumeration Date
2010-01-27
Last Update Date
2021-10-19
Business Address
NICHOLAS BONOMO
56 FRANKLIN ST
WATERBURY, CT 06706-1253
Phone number: 203-709-6000
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Mailing Address
NICHOLAS BONOMO
46 S CHERRY ST UNIT 244
WALLINGFORD, CT 06492-3596
Phone number:
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