Individual
PATRICIA M BOMALASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, MAB, SUITE 102, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Mailing address
51 N. 39TH STREET, MAB, SUITE 102, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-3297
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP005247C
PA
Other
Enumeration date
10/05/2006
Last updated
01/27/2014
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