Provider Demographics
NPI:1629279989
Name:WILLIAM S. BUONANNO, MD.,INC.
Entity Type:Organization
Organization Name:WILLIAM S. BUONANNO, MD.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUONANNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-946-6622
Mailing Address - Street 1:35 SOCKANOSSETT CROSSROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920
Mailing Address - Country:US
Mailing Address - Phone:401-946-6622
Mailing Address - Fax:401-946-3388
Practice Address - Street 1:35 SOCKANOSSETT CROSSROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920
Practice Address - Country:US
Practice Address - Phone:401-946-6622
Practice Address - Fax:401-946-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI7064207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIF28466Medicare UPIN