Bonomi, Marcelo Raul

Bonomi, Marcelo Raul is an individual health care provider with primary practice located at 460 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Bonomi, Marcelo Raul can be contacted via phone (614) 293-0463.

Contact Information

Primary practice address
460 W 10Th Ave Columbus OH 43210-1240
Fax: (614) 293-3193
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 35.131594 Ohio

Profile Details

NPI number 1043446230
LBN Legal business name Bonomi, Marcelo Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043446230 NPPES
Ohio MEDICAID 0233928

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