Organization
JAROSLAW S. PONDO, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAROSLAW S PONDO M.D. (OWNER)
(201) 896-0050
Entity
Organization
Contact information
Practice address
71 UNION AVE, SUITE 107, RUTHERFORD, NJ 07070-1274
(201) 896-0050
(201) 896-0051
Mailing address
146 MORTIMER AVE, RUTHERFORD, NJ 07070-1615
(201) 935-2087
(201) 935-2087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07479000
NJ
207RP1001X
Pulmonary Disease Physician
25MA07479000
NJ
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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