SearchIndiana207LP2900X

John Buonocore, D.O

NPI 1992801492 · on the registry since 2006

Practice

Address
3005 E State Blvd
Fort Wayne, IN 46805
Phone
(260) 267-9498
Clinicians at this address
5

Registry record

Primary taxonomy
207LP2900X
207LP2900X
Also registered as
207L00000X
208VP0014X
208VP0014X
208VP0014X
Licence states on file
NY, MI, OH, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana