person
Ms. Mary M Bonomo, PA
Surgical Physician Assistant in Philadelphia, Pennsylvania
NPI 1376861690

Mary M Bonomo is a Surgical Physician Assistant based in Philadelphia, PA and is specialized in Surgical. Mary M Bonomo practices in Philadelphia, PA and has the professional credentials of PA. The NPI Number for Mary M Bonomo is 1376861690 and holds a License No. MA051566 (Pennsylvania).

The current practice location address for Mary M Bonomo is 5501 Old York Rd, Philadelphia, PA and can be reached out via phone at 215-456-6933.

Location: 5501 Old York Rd, Philadelphia, PA, 19141-3018
person
Provider Profile Details
NPI Number
1376861690
Provider Name
Mary M Bonomo
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5501 Old York Rd, Philadelphia, PA, 19141-3018
Phone Number
215-456-6933
Fax Number
Provider Enumeration Date
05/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5501 Old York Rd
City
State
Zip
19141-3018
Phone Number
215-456-6933
Fax Number
person
Provider Business Mailing Address Details
Address
5501 Old York Rd
City
State
Zip
19141-3018
Phone Number
215-456-6933
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA051566 (Pennsylvania)
Definition
Definition to come...
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