Bonanni, Craig Cesare
Bonanni, Craig Cesare is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor, East Hartford CT 06108-3288. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bonanni, Craig Cesare can be contacted via phone (860) 282-4128.Contact Information
Primary practice address
99 E River Dr 5Th Floor
East Hartford CT 06108-3288
Phone: (860) 282-4128
Fax: (860) 289-0746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 027217 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 27217 | Connecticut |
Profile Details
| NPI number | 1245216472 |
|---|---|
| LBN Legal business name | Bonanni, Craig Cesare |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Aug 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245216472 | NPPES |
| Connecticut | MEDICAID | 001272178 |
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