Individual
PAOLA PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-3289
Mailing address
287 ALPINE WAY BLDG 24, WOODBRIDGE, NJ 07095-1475
(917) 545-4231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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