| 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 |