Individual
DR. ALESSANDRO BOMBONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, TOWER BLDG, PHILADELPHIA, PA 19141-3018
(215) 456-6157
(215) 456-6426
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD436819
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT185329
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265896
—
NJ
05
—
102610567
—
PA
Enumeration date
09/09/2008
Last updated
09/21/2012
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