NPI 1245974914 · live from the CMS NPI Registry
Marianne Bonanno, MD
Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1245974914, active.
NPI record
| NPI | 1245974914 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-7770 |
| Enumerated | April 27, 2022 |
| Last updated | July 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | RTL22-0115 (NC) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | LP05901 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.