Individual
DR. JANE PONTIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
148 N 8TH ST, PHILADELPHIA, PA 19107-2496
(215) 777-5808
(215) 777-5825
Mailing address
PO BOX 22433, NEW YORK, NY 10087-2433
(215) 777-5801
(215) 777-5716
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002925L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076989000
KEYSTONE HEALTH PLAN HMO
PA
01
—
2216703
AETNA
PA
01
—
231365971
UNITED HEALTH CARE
PA
01
—
231365971071
TRI-CARE
PA
01
—
28824
HEALTH PARTNERS
PA
01
—
31776N
KEYSTONE MERCY
PA
01
—
480029983
RAILROAD MEDICARE
PA
01
—
5848765
CIGNA
PA
01
—
78224
KEYSTONE HEALTH PLAN PPO
PA
01
—
9229
ELDER HEALTH / BRAVO
PA
01
—
P0078224
BLUE SHIELD OF PA
PA
01
—
P1629487
OXFORD
PA
Enumeration date
09/20/2005
Last updated
10/03/2023
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