MEDICARE: MR. RONALD R FUDALA P.T., D.P.T

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	225100000X	Physical Therapist	40QA01142700	NJ

General Provider Information

NPI Number	:	1730262833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD R FUDALA P.T., D.P.T

Provider Business Mailing Address
First Line	:	379 SAPLING WAY
Second Line	:
City	:	ATCO
State	:	NJ
Zip	:	08004-1955
Country	:	US
Telephone Number	:	856-753-5084
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 NEW RD
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1179
Country	:	US
Telephone Number	:	609-645-8282
Fax Number	:	609-645-8182

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	02/17/2009

Similar Medicare Providers

1023820370 — 100 PERCENT HEALTHCARE LLC
Practice Location Address:

1418 NEW RD STE 1C
NORTHFIELD, NJ
08225-1179

Practice Phone: 609-699-5750
Practice Fax:

1346214533 — GARY OXENBERG MD
Practice Location Address:

1418 NEW RD STE 2
NORTHFIELD, NJ
08225-1179

Practice Phone: 609-796-7969
Practice Fax:

1093769887 — CHERYL L STONE DNP, CRNP
Practice Location Address:

1418 NEW RD STE 1C
NORTHFIELD, NJ
08225-1179

Practice Phone: 609-699-5750
Practice Fax:

1538103437 — MARY K DRENNEN APN
Practice Location Address:

1418 NEW RD STE 1C
NORTHFIELD, NJ
08225-1179

Practice Phone: 609-699-5750
Practice Fax:

1467480715 — BARBARA GREENLING APN-C
Practice Location Address:

1418 NEW RD STE 1
NORTHFIELD, NJ
08225-1179

Practice Phone: 609-798-7969
Practice Fax:

1003845223 — MATTHEW J. FINNEGAN MD
Practice Location Address:

1418 NEW RD STE 2
NORTHFIELD, NJ
08225-1179

Practice Phone: 609-796-7969
Practice Fax:

Directions to “ MR. RONALD R FUDALA P.T., D.P.T” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.