| Dr Bonnie Koo, MD | |
|
491 Allendale Rd Ste 313, King Of Prussia, PA 19406 | |
| (610) 337-3195 | |
| (610) 337-0932 |
| Full Name | Dr Bonnie Koo |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 491 Allendale Rd Ste 313, King Of Prussia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851533038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD462822 (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Dermatology Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023382918 PECOS PAC ID: 3274794268 Enrollment ID: O20120419000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bonnie Koo, MD 258 Ben Franklin Hwy E, Birdsboro, PA 19508-8772 Ph: (610) 288-2908 | Dr Bonnie Koo, MD 491 Allendale Rd Ste 313, King Of Prussia, PA 19406 Ph: (610) 337-3195 |
Erum N Ilyas, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 860 First Ave, Suite 8b, King Of Prussia, PA 19406 Phone: 610-265-1166 Fax: 215-265-1186 | |
James W Padget Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 491 Allendale Rd, Suite 313, King Of Prussia, PA 19406 Phone: 610-337-3195 Fax: 610-337-0932 | |
Sonia M Padget, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 491 Allendale Rd, Suite 313, King Of Prussia, PA 19406 Phone: 610-337-3195 Fax: 610-337-0932 | |
Dr. Olga Semyonovna Radkevich-brown, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Mall Blvd, King Of Prussia, PA 19406 Phone: 610-337-3195 |