# FOOT FORWARD PODIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104152552
- **Authorized official:** DR. JOSEPH DOMINIC RONDEAU DPM (SOLE PROPRIETOR)
- **Authorized official phone:** (215) 748-9770

## Contact information

- **Practice address:** 501 S 54TH ST, SUITE 301, PHILADELPHIA, PA 19143-1900
- **Practice address phone:** (215) 748-9770
- **Practice address fax:** (215) 748-9777
- **Mailing address:** 501 S 54TH ST, SUITE 301, PHILADELPHIA, PA 19143-1900
- **Mailing address phone:** (215) 748-9770
- **Mailing address fax:** (215) 748-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004741L | PA | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009