DR. Jeffrey Joseph Bongiorno, DPM

NPI #1770599953 in Port Washington, Wisconsin

Provider Information

NPI Number: 1770599953
Entity Type: Individual
Name: DR. Jeffrey Joseph Bongiorno, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 31, 2006
Last Updated: Nov 19, 2007

Practice Location

Address: 1317 W GRAND AVE
City: Port Washington
State: Wisconsin
ZIP Code: 53074-2075
Phone: (262) 284-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

Provider Name	Specialty	City
Port Washington Podiatry INC	Podiatrist	Port Washington	AI Deep Dive

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