| Jaroslaw S. Pondo, M.d. Pc | |
|
71 Union Ave Suite 107 Rutherford NJ 07070-1274 | |
| (201) 896-0050 | |
| (201) 896-0051 |
| Full Name | Jaroslaw S. Pondo, M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 71 Union Ave, Rutherford, New Jersey |
| Authorized Official Name and Position | Jaroslaw S Pondo (OWNER) |
| Authorized Official Contact | 2018960050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaroslaw S. Pondo, M.d. Pc 146 Mortimer Ave Rutherford NJ 07070-1615 Ph: (201) 935-2087 | Jaroslaw S. Pondo, M.d. Pc 71 Union Ave Suite 107 Rutherford NJ 07070-1274 Ph: (201) 896-0050 |
| NPI Number | 1417112459 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 07/18/2008 |
| Medicare PECOS PAC ID | 8921172677 |
|---|---|
| Medicare Enrollment ID | O20080730000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417112459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07479000 (New Jersey) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 25MA07479000 (New Jersey) | Secondary |
| Provider Name | Jaroslaw S Pondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487665717 PECOS PAC ID: 2365436151 Enrollment ID: I20080717000069 |
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