# JAROSLAW S. PONDO, M.D. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417112459
- **Authorized official:** JAROSLAW S PONDO M.D. (OWNER)
- **Authorized official phone:** (201) 896-0050

## Contact information

- **Practice address:** 71 UNION AVE, SUITE 107, RUTHERFORD, NJ 07070-1274
- **Practice address phone:** (201) 896-0050
- **Practice address fax:** (201) 896-0051
- **Mailing address:** 146 MORTIMER AVE, RUTHERFORD, NJ 07070-1615
- **Mailing address phone:** (201) 935-2087
- **Mailing address fax:** (201) 935-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07479000 | NJ | Yes |
| 207RP1001X | Pulmonary Disease Physician | 25MA07479000 | NJ | — |

## Other

- **Enumeration date:** 07/18/2008
- **Last updated:** 07/18/2008