Individual
DR. MARIE PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 418-1320
Mailing address
5 ROUND HL, HOLMDEL, NJ 07733-1935
(732) 772-9776
(732) 834-0353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA62628
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7208201
—
NJ
Enumeration date
12/04/2006
Last updated
10/24/2011
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