Organization
NORTH PLAINFIELD PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER PONCE (OWNER)
(973) 482-7007
Entity
Organization
Contact information
Practice address
654 MOUNT PROSPECT AVE # 301, NEWARK, NJ 07104-3110
(973) 482-7007
Mailing address
654 MOUNT PROSPECT AVE # 301, NEWARK, NJ 07104-3110
(973) 482-7007
(973) 482-9333
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MD00246800
NJ
Other
Enumeration date
07/03/2017
Last updated
05/22/2019
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