Individual
FERDINAND PONTEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
228 CAPRI TER, PARK RIDGE, NJ 07656-2440
(201) 259-0038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01031500
NJ
Other
Enumeration date
05/25/2020
Last updated
08/09/2024
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