Individual
MICHELLE EVANS-PONTRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(516) 491-1202
Mailing address
215 CARLTON AVE, PISCATAWAY, NJ 08854-3009
(516) 491-1202
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA12306900
NJ
Other
Enumeration date
03/19/2019
Last updated
07/24/2024
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