| Doctor Name: | MR. THOMAS A BONDARCHUK |
| NPI Number: | 1093791469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P. |
| License Number: | 003246 |
| Business Practice Address: | 1084 Cromwell Ave Suite 202 Rocky Hill, CT - 060673445 |
| Business Phone Number: | 8607802002 |
| Business Fax Number: | 8602570147 |
| Mailing Address: | 1084 Cromwell Ave, Suite 202 ROCKY HILL |
| State: | CT |
| Postal Code: | 060673445 |
| Phone Number: | 8607802002 |
| Fax Number: | 8602570147 |
| NPI Enumeration Date: | 12/19/2005 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 003246 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |