Bonomo, Jason Andrew

Bonomo, Jason Andrew is an sole proprietor health care provider with primary practice located at 8081 Innovation Park Dr Ste 700 , Fairfax VA 22031-4867. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bonomo, Jason Andrew can be contacted via phone (571) 472-2900.

Contact Information

Primary practice address
8081 Innovation Park Dr Ste 700 Fairfax VA 22031-4867
Phone: (571) 472-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101274803 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.149207 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101274803 Virginia

Profile Details

NPI number 1649628306
LBN Legal business name Bonomo, Jason Andrew
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2016
Last updated Oct 28th, 2022 - about 3 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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