| Dr Andrew G Bongiovanni, DO | |
| 1991 Sproul Rd, Suite 450, Broomall, PA 19008-3512 | |
| (484) 427-8999 | |
| (484) 421-3001 | 
| Full Name | Dr Andrew G Bongiovanni | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 1991 Sproul Rd, Broomall, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811949191 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | OS003771L (Pennsylvania) | Primary | 
| Entity Name | Main Line Healthcare | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Andrew G Bongiovanni, DO 1991 Sproul Rd, Suite 450, Broomall, PA 19008-3512 Ph: (484) 427-8999 | Dr Andrew G Bongiovanni, DO 1991 Sproul Rd, Suite 450, Broomall, PA 19008-3512 Ph: (484) 427-8999 | 
| Pauline M Samuels, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1999 Sproul Rd Ste 11, Broomall, PA 19008 Phone: 610-394-6666 Fax: 610-394-6667 | |
| Dr. Julian L Gladstone, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1999 Sproul Rd, Ste 21, Broomall, PA 19008 Phone: 610-353-6400 Fax: 610-356-1836 | |
| John D Sprandio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Lawrence Rd, Suite 201, Broomall, PA 19008 Phone: 610-492-5900 Fax: 610-492-5810 | |
| Dr. Larry M Shrager, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Sproul Rd Suite 100, Marple Commons, Broomall, PA 19008 Phone: 610-353-3500 Fax: 610-353-2015 | |
| Dr. Margaret Elaine Walker, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2000 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-359-1355 Fax: 610-359-9228 | |
| Dr. Laura Kathryn Gallo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1991 Sproul Rd Ste 625, Broomall, PA 19008 Phone: 610-325-0309 Fax: 610-325-0459 | |
| Stephen A Shore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Lawrence Rd, Suite 201, Broomall, PA 19008 Phone: 610-492-5900 Fax: 610-492-5903 |