NPI | 1104152552 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH DOMINIC RONDEAU Sole Proprietor 215-748-9770 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004741L) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |