Individual
DR. PONCIANO P PALMIERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
332 HARRISON AVE, HARRISON, NJ 07029-1775
(973) 484-2584
(973) 484-9216
Mailing address
332 HARRISON AVE, HARRISON, NJ 07029-1775
(973) 484-2584
(973) 484-9216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03479100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793306
—
NJ
Enumeration date
11/02/2006
Last updated
12/03/2010
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