Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Ross Bonanni, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093265670

John Ross Bonanni, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave Dept OF Radiology
Boston, MA 02115-5724
Phone: (617) 355-6936
Fax: (617) 730-0573
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1093265670
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 7, 2016
Last updated in NPPESOctober 7, 2016
Mailing address300 Longwood Ave, Department Of Radiology, Boston, MA 02115-5724

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