Nicholas Bonomo
Nicholas Bonomo is a Physician Assistant in Waterbury, Connecticut. Qualified in 2009, 17 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 17
- Licensed in
- CT
- In the registry since
- 2010
Practice location Address checks out
56 Franklin StWaterbury, CT 06706-1253
Phone: (203) 709-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 1090862 (CT) |
|---|
Record details
| NPI number | 1386975571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 27, 2010 |
| Last updated in NPPES | October 19, 2021 |
| Certification date | October 19, 2021 |
| Mailing address | 46 S Cherry St, Unit 244, Wallingford, CT 06492-3596 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Trinity Health Of New England Provider Network Organization Inc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Waterbury
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Sarah Ann Adams, PA-C
500 Chase Pkwy, Waterbury, CT 06708-3346 · (203) 755-6677
-
MS. Stephanie E Beierle, PA-C
500 Chase Pkwy, Waterbury, CT 06708-3346 · (203) 755-6677
-
MS. Ashley Lauren Crabtree, PA-C
56 Franklin St, Waterbury, CT 06706-1253 · (203) 709-6000
-
Mrs. Amanda Maria Delcavo, PA-C
50 Franklin St, Waterbury, CT 06706 · (203) 709-6000
-
Mrs. Joan M Doback, PA-C
64 Robbins St, Waterbury, CT 06708-2613 · (203) 573-7233
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Christine R. Dunbar, PA-C
1211 W Main St, Waterbury, CT 06708-3106 · (203) 755-0163