Organization
BUONOMO MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK BUONOMO D.O. (PRESIDENT)
(215) 483-8666
Entity
Organization
Contact information
Practice address
446 DOMINO LANE, PHILADELPHIA, PA 19128
(215) 483-8666
(215) 483-9616
Mailing address
446 DOMINO LANE, PHILADELPHIA, PA 19128
(215) 483-8666
(215) 483-9616
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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