Individual
DR. RICHARD WILLIAM RONDANINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
64 SPRINGFIELD AVE, HASBROUCK HEIGHTS, NJ 07604-1027
(201) 288-0664
Mailing address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
(609) 442-8002
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MA70896
NJ
208M00000X
Hospitalist Physician
Primary
25MA07089600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8340609
—
NJ
01
—
MA70896
MEDICAL LICENSE
NJ
Enumeration date
12/21/2005
Last updated
05/14/2021
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