Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 25MA06403100 | NJ |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA06403100 | NJ |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD051087L | PA |
NPI | 1205897188 |
---|---|
Provider Name | Louis Joseph Rondinella |
First Address | Somers Point, NJ 08244 |
Second Address | Somers Point, NJ 08244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2006 |
Last Update Date | 03/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6697309 | (05) | NJ |
G30499 | (02) |