IndividualActive
Patrick Bonasso
NPI 1164765830 · Pediatric Surgery Physician · Morgantown, WV
Provider details
- NPI number
- 1164765830
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26258 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone: (855) 988-2273
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 780
Morgantown, WV 26507-0780
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2022-12-10
- Certified
- 2022-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.