Bongiorno, Charles

Bongiorno, Charles is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bongiorno, Charles can be contacted via phone (215) 707-9900.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-9900
Fax: (215) 707-3831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD025380E Pennsylvania

Profile Details

NPI number 1285694877
LBN Legal business name Bongiorno, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 23rd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285694877 NPPES
Pennsylvania Other 597586 MEDICARE TPI GROUP
Pennsylvania MEDICAID 001041536 MEDICARE TPI GROUP
Pennsylvania Other 1007278000114 MEDICARE TPI GROUP
Pennsylvania Other CD4829 MEDICARE TPI GROUP

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