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Organization
POTOMAC PODIATRY PLLC
Active
Organization
POTOMAC PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH BONINI DPM (PRESIDENT)
(703) 583-5959
Entity
Organization
Contact information
Practice address
14010 SMOKETOWN RD STE 103, WOODBRIDGE, VA 22192-4723
(703) 583-5959
(703) 583-5995
Mailing address
14010 SMOKETOWN RD STE 103, WOODBRIDGE, VA 22192-4723
(703) 583-5959
(703) 583-5995
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000852
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001524257
—
VA
05
—
8890421
—
MD
Enumeration date
08/23/2006
Last updated
07/01/2026
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