Individual
JAROSLAW S PONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 UNION AVE, SUITE 107, RUTHERFORD, NJ 07070-1274
(201) 896-0050
(201) 896-0051
Mailing address
71 UNION AVE, SUITE 107, RUTHERFORD, NJ 07070-1274
(201) 896-0050
(201) 896-0051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07479000
NJ
207RP1001X
Pulmonary Disease Physician
25MA07479000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185540
—
NJ
Enumeration date
08/11/2006
Last updated
06/11/2013
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