Charles Edward Bonfanti, PA
Charles Edward Bonfanti, PA is a Physician Assistant in Taos, New Mexico. Qualified in 1975, 51 years ago. Practices with Family Practice Associates of Taos, a 2-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 51
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
630 Paseo Del Pueblo Sur Ste 150Taos, NM 87571-6070
Phone: (575) 758-3005
Fax: (575) 758-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 75-PA002 (NM) |
|---|
Record details
| NPI number | 1295792570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | April 28, 2006 |
| Last updated in NPPES | February 3, 2017 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1975 (51 years in practice) |
| Group practice | Family Practice Associates Of Taos — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Taos
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Michael Bellas, PA
1397 Weimer Rd, Taos, NM 87571-2199 · (505) 758-8883
-
Christa Danell Castro, PA
1397 Weimer Rd, Taos, NM 87571 · (505) 751-5835
-
Brittney Coe, PA-C
630 Paseo Del Pueblo Sur Ste 125, Taos, NM 87571-7024 · (575) 751-7430
-
John P Mahony, PA
330 Paseo Del Pueblo Sur Ste C, Taos, NM 87571-5328 · (575) 758-1414
-
MS. Elizabeth Anne Martinez, PA-C
1400 Weimer Rd, Taos, NM 87571-6346 · (505) 758-2073