MS. Mary M Bonomo, P.A. is a surgical physician assistant in Philadelphia, PA with 21 years of experience. MS. Mary M Bonomo, P.A. NPI is 1376861690. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5501 OLD YORK RD
KLEIN 510
PHILADELPHIA, PA
ZIP 19141-018
Phone: (215) 456-6933
The NPI 1376861690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/11/2010 and was last updated on 5/11/2010.