Organization
BOONTON PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RONIGER DPM (PARTNER)
(973) 402-1973
Entity
Organization
Contact information
Practice address
223 W MAIN ST, SUITE 1B, BOONTON, NJ 07005-1166
(973) 402-1973
(973) 402-1969
Mailing address
223 W MAIN ST, SUITE 1B, BOONTON, NJ 07005-1166
(973) 402-1973
(973) 402-1969
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01978
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3444805
—
NJ
Enumeration date
09/21/2007
Last updated
06/18/2008
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