Provider Demographics
NPI:1184749020
Name:BONTEMPO, NOEL C (MD)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:C
Last Name:BONTEMPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2445
Mailing Address - Country:US
Mailing Address - Phone:508-473-4740
Mailing Address - Fax:
Practice Address - Street 1:3 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2445
Practice Address - Country:US
Practice Address - Phone:508-473-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32560208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics