Provider Demographics
NPI:1295337897
Name:BONES-CASTRO, ROSS ANGELI (MD MBA)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:ANGELI
Last Name:BONES-CASTRO
Suffix:
Gender:F
Credentials:MD MBA
Other - Prefix:
Other - First Name:ROSS
Other - Middle Name:ANGELI
Other - Last Name:BONES VALENTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2617 E INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-4931
Mailing Address - Country:US
Mailing Address - Phone:931-255-9713
Mailing Address - Fax:
Practice Address - Street 1:2617 E INDIANA AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4931
Practice Address - Country:US
Practice Address - Phone:931-255-9713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor