Individual
AJIT P PONNAMBALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 BEY LEA RD, B-102, TOMS RIVER, NJ 08753
(732) 244-4994
(732) 244-4226
Mailing address
40 BEY LEA RD, B-102, TOMS RIVER, NJ 08753
(732) 244-4994
(732) 244-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25 MA 05145700
NJ
Other
Enumeration date
08/30/2006
Last updated
09/13/2007
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