Individual
DR. PASQUALE MICHAEL PONTORIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH, CCP
Contact information
Practice address
160 AIRPORT RD, LAKEWOOD, NJ 08701-6927
(732) 256-9660
(732) 256-9659
Mailing address
16 GLESS AVE, NUTLEY, NJ 07110-3214
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
28RI03366900
NJ
Other
Enumeration date
04/13/2011
Last updated
07/31/2013
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