# POBLETE MEDICAL PRACTICE, PC

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

## Provider details

- **NPI number:** 1558546630
- **Authorized official:** RONALD POBLETE MD (PRESIDENT)
- **Authorized official phone:** (973) 253-7800

## Contact information

- **Practice address:** 519 RIVER DR, SUITE 4, GARFIELD, NJ 07026-3219
- **Practice address phone:** (973) 253-7800
- **Practice address fax:** (973) 253-8503
- **Mailing address:** 519 RIVER DR, SUITE 4, GARFIELD, NJ 07026-3219
- **Mailing address phone:** (973) 253-7800
- **Mailing address fax:** (973) 253-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 04/24/2008