Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY JOSEPH BONGIORNO, DPM
Active Sole ProprietorDR. JEFFREY JOSEPH BONGIORNO, DPM is a Podiatrist healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1770599953 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PORT WASHINGTON, WI
Registration Details
- NPI Number
- 1770599953
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (19.998001575116 yrs)
- Last Updated
- Nov 19, 2007
- License
-
798025 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1317 W GRAND AVEPORT WASHINGTON, WI, 530742075Browse WI providers · Browse ZIP 53074
- Phone
- 2622848800
- Fax
- 2622848861
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.