Provider Demographics
NPI:1053711879
Name:D'ONOFRIO, LOUIS ERNEST JR (DNP)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ERNEST
Last Name:D'ONOFRIO
Suffix:JR
Gender:M
Credentials:DNP
Other - Prefix:
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Mailing Address - Street 1:3180 MAIN ST UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-4237
Mailing Address - Country:US
Mailing Address - Phone:203-375-6320
Mailing Address - Fax:203-383-2564
Practice Address - Street 1:3180 MAIN ST UNIT 1B
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-4237
Practice Address - Country:US
Practice Address - Phone:203-375-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT5587207R00000X
CT5887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine