Ponti, Tatyana
Ponti, Tatyana is an sole proprietor health care provider with primary practice located at 160 White Road #102, Little Silver NJ 07739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ponti, Tatyana can be contacted via phone (732) 450-0062.Contact Information
Primary practice address
160 White Road #102
Little Silver NJ 07739
Phone: (732) 450-0062
Fax: (732) 450-0616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07772800 | New Jersey |
Profile Details
| NPI number | 1811099005 |
|---|---|
| LBN Legal business name | Ponti, Tatyana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jun 29th, 2010 - about 14 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 | 1811099005 | NPPES |
| New Jersey | MEDICAID | 0052825 |
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