Individual provider · Type 1 NPI

Jason Andrew Bonomo, MD, PhD

Cardiovascular Disease Physician · Fairfax, VA

NPI number 1649628306 Active

Practice location

8081 Innovation Park Dr Ste 700
Fairfax, VA 22031-4867

Call (571) 472-2900 Map

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Other practice locations

  • 251 E Huron St, Chicago, IL 60611-2908 · (312) 695-0070

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X0101274803 (VA)
Hospitalist Physician 208M00000X036.149207 (IL)
Cardiovascular Disease Physician Primary 207RC0000X0101274803 (VA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8 other providers at this address

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About NPI 1649628306

Jason Andrew Bonomo, MD, PhD's National Provider Identifier is 1649628306, issued on Jun 2, 2016. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 28, 2022.