Individual
MARTA REGINA PONCE CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1060 MAIN ST, SUITE 301, RIVER EDGE, NJ 07661-2591
(201) 489-0096
(201) 488-2930
Mailing address
15 COLUMN CT, RAMSEY, NJ 07446-2002
(201) 818-2034
(973) 472-4835
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA08184500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11774599
ANTHEM
NJ
01
—
387749500
AMERIHEALTH
NJ
01
—
454509813
MAGNACARE
NJ
01
—
7044084
CIGNA
NJ
01
—
7223970
AETNA
NJ
01
—
P4464080
OXFORD
NJ
Enumeration date
12/18/2006
Last updated
05/23/2012
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