Provider Demographics
NPI:1972663268
Name:RHONDA J CRONIN DPM PC
Entity type:Organization
Organization Name:RHONDA J CRONIN DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-295-5658
Mailing Address - Street 1:1546 MAKEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3150
Mailing Address - Country:US
Mailing Address - Phone:215-295-5658
Mailing Address - Fax:215-428-2224
Practice Address - Street 1:1546 MAKEFIELD RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-3150
Practice Address - Country:US
Practice Address - Phone:215-295-5658
Practice Address - Fax:215-428-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002978L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA423966Medicare ID - Type UnspecifiedPROVIDER NUMBER
PAT30343Medicare UPIN