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Individual

DR. JOHN M ROTONDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
36 NEWARK AVE STE 320, BELLEVILLE, NJ 07109-4122
(973) 759-0110
(973) 759-0153
Mailing address
36 NEWARK AVE STE 320, BELLEVILLE, NJ 07109-4122
(973) 759-0110
(973) 759-0153

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00148200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070
EMPIREHEALTHCHOICE (CA)
NJ
01
70010000ZDY528
BLUECROSSBLUESHIELD MA
NJ
01
765
CONSOLIDATED SERVICES GRP
NJ
01
SANR-954146179
MHN SERV SANRAFAEL,CA
NJ
01
W880324776
PMA INS. GRP BLUEBELL, PA
NJ
Enumeration date
05/17/2007
Last updated
11/22/2011
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