Individual
ANTHONY JOHN PONTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 BALMORAL DR, JACKSON, NJ 08527-4476
(732) 299-9365
Mailing address
41 BALMORAL DR, JACKSON, NJ 08527-4476
(732) 299-9365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01668000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28RI01668000
—
NJ
Enumeration date
12/10/2020
Last updated
12/10/2020
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