Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY M BONOMO, P.A.
ActiveMS. MARY M BONOMO, P.A. is a Surgical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1376861690 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1376861690
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2010 (16.293458566192 yrs)
- Last Updated
- May 11, 2010
- License
-
MA051566 (PA)
Practice Information
- Address
-
5501 OLD YORK RDKLEIN 510PHILADELPHIA, PA, 191413018Browse PA providers · Browse ZIP 19141
- Phone
- 2154566933
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| ELLIOTT MCPHERSON | PA | 1881653475 |
| AMY CHRISTINE PACCAPANICCIA | PAC | 1972569358 |
| MS. LINDA BAILEY | P.A. | 1053369041 |
| SANDRA J BRICE | P.A. | 1548217961 |
| RICHARD LEWIS IRVING III | MHS, PA-C | 1396787917 |
| MRS. LISA MARIE WETHERHOLD | PA-C | 1588698013 |
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.