Javier Ricardo Ponce, DPM

NPI #1679689764 in Newark, New Jersey

Provider Information

NPI Number: 1679689764
Entity Type: Individual
Name: Javier Ricardo Ponce, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Aug 22, 2006
Last Updated: May 9, 2019

Practice Location

Address: 654 MOUNT PROSPECT AVE STE 301
City: Newark
State: New Jersey
ZIP Code: 07104-3110
Phone: (973) 482-7007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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