Bonavoglia, Marie Susan

Bonavoglia, Marie Susan is an individual health care provider with primary practice located at 3 W Olive St , Scranton PA 18508-2572. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bonavoglia, Marie Susan can be contacted via phone (570) 207-4054.

Contact Information

Primary practice address
3 W Olive St Scranton PA 18508-2572
Phone: (570) 207-4054
Fax: (570) 207-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052473 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA002570 Pennsylvania

Profile Details

NPI number 1245540731
LBN Legal business name Bonavoglia, Marie Susan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Dec 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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