MEDICARE: JOHN GIRIMONTE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	MD002588	NJ
2	213ES0103X	Foot & Ankle Surgery Podiatrist	25MD00258800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689663577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN GIRIMONTE DPM

Provider Business Mailing Address
First Line	:	2301 E EVESHAM RD
Second Line	:	SUITE 307
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4501
Country	:	US
Telephone Number	:	856-772-1777
Fax Number	:	856-772-1846

Provider Business Practice Location Address
First Line	:	2301 E EVESHAM RD
Second Line	:	SUITE 307
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4501
Country	:	US
Telephone Number	:	856-772-1777
Fax Number	:	856-772-1846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	10/21/2020

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Directions to “ JOHN GIRIMONTE DPM” Practice Location

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