Individual
DR. JONATHAN PONTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 W LANCASTER AVE, SUITE 1A, WAYNE, PA 19087-3938
(610) 688-7100
(610) 688-7102
Mailing address
303 W LANCASTER AVE, SUITE 1A, WAYNE, PA 19087-3938
(610) 688-7100
(610) 688-7102
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
MD068106L
PA
Other
Enumeration date
06/02/2006
Last updated
03/18/2015
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