Organization
S. B. & R. D. PONAMGI MD PA
Active
Other names
SURI B. PONAMGI MD
Organization subpart
No
Provider details
NPI number
Authorized official
BEYGUM KHAN BSN, CPC (OFFICE MANAGER)
(201) 224-8831
Entity
Organization
Contact information
Practice address
1101 PALISADE AVE, FORT LEE, NJ 07024-6329
(201) 224-8831
(201) 224-9278
Mailing address
1101 PALISADE AVE, FORT LEE, NJ 07024-6329
(201) 224-8831
(201) 224-9278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03284500
NJ
Other
Enumeration date
12/12/2012
Last updated
05/30/2013
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