Kathryn Bonese, M.D.
Individual provider Active NPI Specialist · New Haven, CT
NPI 1619145166 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1619145166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 18220 (CT)
- Practice address
- 32 Trumbull St
New Haven, CT 06511-6310 - Phone
- (203) 777-5435
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 18220 | CT | Yes |
Addresses
Primary practice location
32 Trumbull St
New Haven, CT 06511-6310
Mailing address
32 Trumbull St
New Haven, CT 06511-6310
Phone (203) 777-5435
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.