IndividualActive
Michael Boniello, M.D., M.SC.
NPI 1023469293 · Sports Medicine (Orthopaedic Surgery) Physician · Rocky Hill, CT
Provider details
- NPI number
- 1023469293
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.SC.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 70647 (CT)
Practice location
1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3455
Phone: (860) 525-4469
Mailing address
1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3455
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.