Individual
ERIC RODRIGUE BONGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8001 MANDAN RD APT 102, GREENBELT, MD 20770-2849
(240) 595-5407
Mailing address
8001 MANDAN RD APT 102, GREENBELT, MD 20770-2849
(240) 595-5407
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0120011311
VA
2085B0100X
Body Imaging Physician
Primary
1020905
MD
Other
Enumeration date
06/12/2013
Last updated
12/31/2022
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