Organization
PONOS MEDICAL CARE NEW JERSEY, PC
Active
Organization
PONOS MEDICAL CARE NEW JERSEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO BULTRON MD (OWNER)
(757) 704-1000
Entity
Organization
Contact information
Practice address
1501 MAPLE AVE STE 305, RICHMOND, VA 23226-2553
(757) 704-1000
Mailing address
100 M ST SE STE 600, WASHINGTON, DC 20003-3648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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