Ponzio, Geralyn Michele
Ponzio, Geralyn Michele is an sole proprietor health care provider with primary practice located at 127 Pine St , Montclair NJ 07042-4855. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ponzio, Geralyn Michele can be contacted via phone (973) 783-0073.Contact Information
Primary practice address
127 Pine St
Montclair NJ 07042-4855
Phone: (973) 783-0073
Fax: (973) 783-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07671800 | New Jersey |
Profile Details
| NPI number | 1962484501 |
|---|---|
| LBN Legal business name | Ponzio, Geralyn Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Dec 11th, 2009 - about 15 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 | 1962484501 | NPPES |
| New Jersey | MEDICAID | 0049883 |
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