Mackenzie, Bonnie Suzanne

Mackenzie, Bonnie Suzanne is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mackenzie, Bonnie Suzanne can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 442-0711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 247472 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X MD13276 Rhode Island
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD13276 Rhode Island
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52132 Connecticut

Profile Details

NPI number 1275790958
LBN Legal business name Mackenzie, Bonnie Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Jul 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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