Individual
DR. THERESA G RONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
784 FRANKLIN AVE, SUITE 250, FRANKLIN LAKES, NJ 07417-1306
(201) 560-0711
(201) 560-0712
Mailing address
784 FRANKLIN AVE, SUITE 250, FRANKLIN LAKES, NJ 07417-1306
(201) 560-0711
(201) 560-0712
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00243900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057711
—
NJ
Enumeration date
08/05/2006
Last updated
05/04/2015
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