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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERALD MICHAEL BONKO, RPH

Active Sole Proprietor

GERALD MICHAEL BONKO, RPH is a 3336M0003X healthcare provider located in PHILA, Pennsylvania. NPI 1235612920 is currently active in the NPPES registry. Verify at CMS.

3336M0003X · PHILA, PA

Registration Details

NPI Number
1235612920
Provider Type
Individual
Gender
Male
NPI Issued
Sep 10, 2018 (7.9260457006938 yrs)
Last Updated
Sep 10, 2018
Sole Proprietor
Yes

Practice Information

Address
200 STEVENS DR
PHILA, PA, 191131520
Browse PA providers · Browse ZIP 19113
Phone
2158636483
Primary Specialty
3336M0003X
3336M0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.