Organization
NORTH PLAINFIELD PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER PONCE DPM (DOCTOR)
(201) 960-1512
Entity
Organization
Contact information
Practice address
654 MOUNT PROSPECT AVE # 301, NEWARK, NJ 07104-3110
(973) 482-7007
(973) 482-9333
Mailing address
654 MOUNT PROSPECT AVE # 301, NEWARK, NJ 07104-3110
(973) 482-7007
(973) 482-9333
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00246800
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
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Other
Enumeration date
06/07/2017
Last updated
05/22/2019
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