| Ponzio Medical Associates | |
|
127 Pine St Suite 10 Montclair NJ 07042-4855 | |
| (973) 783-0073 | |
| (973) 783-4010 |
| Full Name | Ponzio Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 127 Pine St, Montclair, New Jersey |
| Authorized Official Name and Position | Geralyn Michelle Ponzio (OWNER) |
| Authorized Official Contact | 9737830073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponzio Medical Associates 127 Pine St Suite 10 Montclair NJ 07042-4855 Ph: (973) 783-0073 | Ponzio Medical Associates 127 Pine St Suite 10 Montclair NJ 07042-4855 Ph: (973) 783-0073 |
| NPI Number | 1043455314 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043455314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07671800 (New Jersey) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
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