Individual
MRS. CHARMAINE PONCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MALCOLM AVE, TETERBORO, NJ 07608-1011
(201) 393-5000
Mailing address
135 BELL AVE, HASBROUCK HEIGHTS, NJ 07604-1419
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
01433501
NY
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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