Organization
DAVID L. DONDERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE DONDERO DPM (OWNER)
(609) 695-6680
Entity
Organization
Contact information
Practice address
2304 US HIGHWAY 1, LAWRENCEVILLE, NJ 08648-4411
(609) 695-6680
Mailing address
2304 US HIGHWAY 1, LAWRENCEVILLE, NJ 08648-4411
(609) 695-6680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD001022
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497811590
NPI SOLE PRACTICE
NJ
05
—
2882108
—
NJ
Enumeration date
11/24/2008
Last updated
11/24/2008
Update your record
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