Whalio Doctors

NPI 1366973463

Jeffrey Bonneville, DMSCMSLPO

Practitioner Orthotist Boston, MA

Practice location

Address
150 S Huntington Ave, Boston, MA 02130-4817
Phone
(857) 364-6962

Registered specialties (3)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OH000281 (PA)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PO000194 (PA)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000165 (IL)

Registry record

NPI
1366973463
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Mar 2017
Record last updated
21 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.