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Individual

ALBERT BONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
722 EAST BUTLER PIKE, AMBLER, PA 19002
(610) 524-1552
Mailing address
722 EAST BUTLER PIKE, AMBLER, PA 19002
(610) 524-1552

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051160
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
830401
BLUE CROSS BLUE SHIELD
PA
01
CD9539
RAILROAD MEDICARE
PA
Enumeration date
01/30/2007
Last updated
03/25/2011
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