| NPI | 1114097722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK M BONDI Owner 856-589-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ MD002247) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ MD01175) |
| 213E00000X Podiatrist (Licence: NJ MD002786) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-09-08 |