Dr. Bonnie S Mackenzie, MD
Pediatrics in New London, Connecticut
1275790958- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-442-0711
- Fax
- —
- Last updated
- July 9, 2013
Bonnie Suzanne Mackenzie is a Pediatrics based in New London, CT. Bonnie Suzanne Mackenzie practices in New London, CT and has the professional credentials of MD. The NPI Number for Bonnie Suzanne Mackenzie is 1275790958 and holds a License No. 247472 (NY). The current practice location address for Bonnie Suzanne Mackenzie is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711.
Provider Profile Details
- NPI Number
- 1275790958
- Provider Name
- Bonnie Suzanne Mackenzie
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-442-0711
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 20, 2008
- Last Update Date
- July 9, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
Provider Business Mailing Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- CT
- Zip
- 06320-4700
License Information
- License Number (1)
- 247472
- License State (1)
- NY
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- MD13276
- License State (2)
- RI
- Taxonomy (2)
- Emergency Medicine, Pediatric Emergency Medicine · 207PP0204X
- License Number (3)
- MD13276
- License State (3)
- RI
- Taxonomy (3)
- Pediatrics · 208000000X · Primary
- License Number (4)
- 52132
- License State (4)
- CT
- Taxonomy (4)
- Emergency Medicine · 207P00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near New London, CT
View all Pediatrics providers in New London →Frequently Asked Questions
What is the NPI number of Dr. Bonnie S Mackenzie, MD?
The NPI number of Dr. Bonnie S Mackenzie, MD is 1275790958. It was assigned on May 20, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Bonnie S Mackenzie, MD?
Dr. Bonnie S Mackenzie, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 247472.
Where does Dr. Bonnie S Mackenzie, MD practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (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 1275790958 directly on the NPPES registry website.