Bonomo, Mary M
Bonomo, Mary M is an individual health care provider with primary practice located at 5501 Old York Rd Klein 510, Philadelphia PA 19141-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bonomo, Mary M can be contacted via phone (215) 456-6933.Contact Information
Primary practice address
5501 Old York Rd Klein 510
Philadelphia PA 19141-3018
Phone: (215) 456-6933
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA051566 | Pennsylvania |
Profile Details
NPI number | 1376861690 |
---|---|
LBN Legal business name | Bonomo, Mary M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2010 |
Last updated | May 11th, 2010 - about 15 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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