Pondo, Jaroslaw S
Pondo, Jaroslaw S is an individual health care provider with primary practice located at 71 Union Ave Suite 107, Rutherford NJ 07070-1274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pondo, Jaroslaw S can be contacted via phone (201) 896-0050.Contact Information
Primary practice address
71 Union Ave Suite 107
Rutherford NJ 07070-1274
Phone: (201) 896-0050
Fax: (201) 896-0051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA07479000 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07479000 | New Jersey |
Profile Details
| NPI number | 1487665717 |
|---|---|
| LBN Legal business name | Pondo, Jaroslaw S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jun 11th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487665717 | NPPES |
| New Jersey | MEDICAID | 0185540 |
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