Individual
DR. MICHAEL A PONTORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 BROAD ST, CLIFTON, NJ 07013-4236
(973) 759-9000
(973) 759-3297
Mailing address
433 CENTRAL AVE, WESTFIELD, NJ 07090-2520
(973) 759-9000
(973) 759-3297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MAO4831400
NJ
208600000X
Surgery Physician
25MA04831400
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA04831400
NJ
Other
Enumeration date
05/27/2005
Last updated
04/26/2024
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