Individual
MICHELLE BONGIORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 555-1056
Mailing address
5625 NEWINGTON RD, BETHESDA, MD 20816-3321
(443) 362-0986
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101258695
VA
207N00000X
Dermatology Physician
D0106547
MD
207ND0101X
MOHS-Micrographic Surgery Physician
0101258695
VA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
D0106547
MD
208D00000X
General Practice Physician
0101258695
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
05/14/2026
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