Boemboy M. Vendiola

Physical Therapist · Wayne, NJ

Individual Active NPI

NPI number 1689721862

Practice location

401 Hamburg Tpke Ste 102
Wayne, NJ 07470-2139
Phone
(201) 794-2121

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NPI record

NPI
1689721862
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 40QA01189500 NJ

Mailing address

432 Cambridge Dr
Butler, NJ 07405-3242
Phone
(973) 462-8548
Fax
(201) 794-6003

About Boemboy Vendiola

Boemboy M. Vendiola is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 401 Hamburg Tpke Ste 102, Wayne, NJ 07470-2139. The NPI number 1689721862 was assigned on January 3, 2007 and the record was last updated on July 8, 2007.

Boemboy Vendiola lists a license in the registry: #40QA01189500 (NJ) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Boemboy M. Vendiola?

The NPI number is 1689721862.

What is the phone number of Boemboy Vendiola?

The phone number listed for the practice location is (201) 794-2121.

Where is Boemboy Vendiola located?

401 Hamburg Tpke Ste 102, Wayne, NJ 07470-2139.

What is the taxonomy code for Boemboy Vendiola?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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