Individual
ROBERT J BIONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 922-0116
Mailing address
PO BOX 60100, CHARLESTON, SC 29419-0100
(609) 261-7095
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MB02757900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1560409
—
NJ
01
—
2263575000
BLUE CROSS BLUE SHIELD
NJ
Enumeration date
07/29/2005
Last updated
07/08/2010
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