Organization
POTOMAC PODIATRY PLLC
Active
Parent organization
POTOMAC PODIATRY GROUP PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC PODIATRY GROUP PLLC
Authorized official
VINCENT JOSEPH BONINI DPM (OWNER)
(703) 583-5959
Entity
Organization
Contact information
Practice address
4475 REGENCY PL STE 204, WHITE PLAINS, MD 20695-3074
(301) 645-1406
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
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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