Michael Buonopane, ATC
Specialist/Technologist, Athletic Trainer in Medford, Massachusetts
1275079071- Practice location
- 161 College Ave, Medford, MA 02155-5528
- Phone
- 617-627-5102
- Fax
- —
- Last updated
- January 17, 2017
Michael Buonopane is a Specialist/Technologist, Athletic Trainer based in Medford, MA. Michael Buonopane practices in Medford, MA and has the professional credentials of ATC. The NPI Number for Michael Buonopane is 1275079071 and holds a License No. 2378 (MA). The current practice location address for Michael Buonopane is 161 College Ave, Medford, MA 02155-5528 and can be reached out via phone at 617-627-5102.
Provider Profile Details
- NPI Number
- 1275079071
- Provider Name
- Michael Buonopane
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 161 College Ave, Medford, MA 02155-5528
- Phone Number
- 617-627-5102
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 17, 2017
- Last Update Date
- January 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 161 College Ave
Medford, MA 02155-5528 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5528
- Phone Number
- 617-627-5102
Provider Business Mailing Address Details
- Address
- 161 College Ave
Medford, MA 02155-5528 - City
- Medford
- State
- MA
- Zip
- 02155-5528
License Information
- License Number
- 2378
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael Buonopane, ATC?
The NPI number of Michael Buonopane, ATC is 1275079071. It was assigned on January 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Michael Buonopane, ATC?
Michael Buonopane, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2378.
Where does Michael Buonopane, ATC practice?
The practice location is 161 College Ave, Medford, MA 02155-5528. The office can be reached at 617-627-5102 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275079071 directly on the NPPES registry website.