Boniello, Michael

Boniello, Michael is an sole proprietor health care provider with primary practice located at 1111 Cromwell Ave Ste 404 , Rocky Hill CT 06067-3455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Boniello, Michael can be contacted via phone (860) 525-4469.

Contact Information

Primary practice address
1111 Cromwell Ave Ste 404 Rocky Hill CT 06067-3455
Phone: (860) 525-4469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 70647 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 70647 Connecticut

Profile Details

NPI number 1023469293
LBN Legal business name Boniello, Michael
Credentials M.D., M.SC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated May 15th, 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.

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