Mr. Bartholomew J Bonazinga
Internist - Cardiovascular Disease
12 Commons St
Rutland
, Vermont 05701
Mr. Bartholomew J Bonazinga
Internist - Cardiovascular Disease
12 Commons St
Rutland
, Vermont 05701
(802) 773-8501
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Mr. Bartholomew J Bonazinga
- 12 Commons St
- Rutland, VT
- Zip : 05701-4651
- Fax : (802) 773-8501
- Phone : (802) 747-3600
Second Address
- Mr. Bartholomew J Bonazinga
- 12 Commons St
- Rutland, VT
- Zip : 05701
- Fax : (802) 773-8501
- Phone : (802) 747-3600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 042-0006395 | VT |
National Provider Identifier
| NPI | 1013082098 |
|---|---|
| Provider Name | Mr. Bartholomew J Bonazinga |
| First Address | Rutland, VT 05701-4651 |
| Second Address | Rutland, VT 05701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 16/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00005223 | BCBS (01) | VT |
| 0009657 | (05) | VT |
| 926404 | MVP (01) | VT |
| E40118 | (02) | VT |
| INTE00048942 | BCBS (01) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.