Individual
SURI BABU PONAMGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
208200000X
Plastic Surgery Physician
Primary
—
NJ
Other
Enumeration date
06/28/2005
Last updated
07/16/2007
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