MEDICARE: EDWARD BUONOCORE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD022206E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740272160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD BUONOCORE MD

Provider Business Mailing Address
First Line	:	207 N BROAD ST FL 3
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19107-1500
Country	:	US
Telephone Number	:	610-279-1370
Fax Number	:	610-279-1372

Provider Business Practice Location Address
First Line	:	1330 POWELL ST
Second Line	:	STE 301
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-3353
Country	:	US
Telephone Number	:	610-279-1370
Fax Number	:	610-279-1372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/07/2023

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Directions to “ EDWARD BUONOCORE MD” Practice Location

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