Individual
DR. DIANA MARIE BONGIORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4283
(215) 662-6698
(215) 662-3953
Mailing address
3400 SPRUCE ST, GROUND RAVDIN, PHILADELPHIA, PA 19104-4283
(215) 662-6698
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD488646
PA
Other
Enumeration date
01/02/2018
Last updated
07/15/2025
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