Dr. Shacelles Shemika Bonner, MD
Emergency Medicine in New Haven, CT. Individual provider (NPI-1).
NPI number1053976894
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1053976894
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shacelles Shemika Bonner
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2019
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 70835 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
Mailing address
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
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