Alyssa Angela Bonomo, DDS
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Washington, DC
NPI 1457084964 · NPPES record last updated Jul 3, 2022
Key facts
- NPI
- 1457084964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 50 Irving St NW
Washington, DC 20422-0001 - Phone
- (202) 745-8272
- NPI assigned
- Jul 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
50 Irving St NW
Washington, DC 20422-0001
Mailing address
770 P St NW Apt 302
Washington, DC 20001-2543
Phone (267) 733-5461
Other providers in Washington, DC
- Wilhelm Bonnette
- Karen Bonney
- Andrea Marie Bonnick
- Marilyn Krasner Bono
- Vincent H Bono
- Bonstar Services LLC
- Bonstar Services LLC
- Caroline Bonu
- Eugene Vincent Bonventre
- Claire O'Connell Boogaard
All providers in Washington, DC · Student in an Organized Health Care Education/Training Program in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.