Jean M Roniger, DPM | |
223 West Main Street, Suite 1b, Boonton, NJ 07005 | |
(973) 402-1973 | |
(973) 402-1969 |
Full Name | Jean M Roniger |
---|---|
Gender | Female |
Speciality | Podiatrist |
Location | 223 West Main Street, Boonton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508836230 | NPI | - | NPPES |
0467006 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 25MD00197800 (New Jersey) | Primary |
Provider Name | Boonton Podiatry |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245426337 PECOS PAC ID: 5193919017 Enrollment ID: O20101104000240 |
Mailing Address | Practice Location Address |
---|---|
Jean M Roniger, DPM 223 West Main Street, Suite 1b, Boonton, NJ 07005 Ph: (973) 402-1973 | Jean M Roniger, DPM 223 West Main Street, Suite 1b, Boonton, NJ 07005 Ph: (973) 402-1973 |
Boonton Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 223 W Main St, Suite 1b, Boonton, NJ 07005 Phone: 973-402-1973 Fax: 973-402-1969 | |
John A Olin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 223 West Main Street, Suite 1b, Boonton, NJ 07005 Phone: 973-402-1973 Fax: 973-402-1969 | |
Hennessy Medical Professional Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 223 W Main St, Boonton, NJ 07005 Phone: 973-402-1973 Fax: 973-402-1969 |