Individual
ANIL R PONNAMBALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 BEY LEA ROAD, SUITE B102, TOMS RIVER, NJ 08753
(732) 244-3380
(732) 244-9013
Mailing address
40 BEY LEA ROAD, SUITE B102, TOMS RIVER, NJ 08753
(732) 244-3380
(732) 244-9013
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA53803
NJ
Other
Enumeration date
09/28/2006
Last updated
09/28/2007
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