Dr Craig Cesare Bonanni, MD | |
99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 | |
(860) 282-4128 | |
(860) 289-0746 |
Full Name | Dr Craig Cesare Bonanni |
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Gender | Male |
Speciality | Anesthesiology |
Location | 99 E River Dr, East Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245216472 | NPI | - | NPPES |
001272178 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 027217 (Connecticut) | Primary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 27217 (Connecticut) | Secondary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Entity Name | Integrated Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
Entity Name | Charter Anesthesiology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730674532 PECOS PAC ID: 2163763830 Enrollment ID: O20190520001013 |
Mailing Address | Practice Location Address |
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Dr Craig Cesare Bonanni, MD 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 Ph: (860) 282-4128 | Dr Craig Cesare Bonanni, MD 99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 Ph: (860) 282-4128 |
Dr. Sung-chil Hong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Dr. Marc Andre Paradis, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Dr. Alexander S. Peck Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Dr. Peter H Diamond, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 99 E River Dr, 5th Floor, East Hartford, CT 06108 Phone: 860-282-4022 Fax: 860-289-0746 | |
Dr. Leslie S Kish, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Nancy J Weinstein, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Founders Plz, #300, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 | |
Dr. Michael Anthony Miranda Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Founders Plz, #300 C/o Ipms, East Hartford, CT 06108 Phone: 860-282-4137 Fax: 860-282-0170 |