| NPI | 1184731549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JOSEPH BONINI President 703-583-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000852) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-01-19 |