S. B. & R. D. PONAMGI MD PA NPI 1366788713

NPI Information

S. B. & R. D. PONAMGI MD PA is a specialist in Fort Lee, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. S. B. & R. D. PONAMGI MD PA NPI is 1366788713. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suri B. Ponamgi Md.

The provider's business location address is:

1101 PALISADE AVE
FORT LEE, NJ
ZIP 07024-329
Phone: (201) 224-8831
Fax: (201) 224-9278

The provider's authorized official is Beygum Khan .
The authorized official title is Office Manager and has the following contact phone number (201) 224-8831.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 5/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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