Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | MDO1615 | NJ |
NPI | 1053440750 |
---|---|
Provider Name | Joseph Victor Lobiondo |
First Address | Belleville, NJ 07109-3532 |
Second Address | Belleville, NJ 07109-3532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 06/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T45353 | (02) | NJ |