Healthcare Provider Details

I. General information

NPI: 1295153732
Provider Name (Legal Business Name): JOHN GIRIMONTE, DPM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E EVESHAM RD STE 307
VOORHEES NJ
08043-4503
US

IV. Provider business mailing address

2301 E EVESHAM RD STE 307
VOORHEES NJ
08043-4503
US

V. Phone/Fax

Practice location:
  • Phone: 856-772-1777
  • Fax:
Mailing address:
  • Phone: 856-772-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00258800
License Number StateNJ

VIII. Authorized Official

Name: DR. JOHN GIRIMONTE
Title or Position: OWNER/PHYSICIAN
Credential: DPM
Phone: 856-772-1777