Whalio Doctors

NPI 1619498300

North Plainfield Podiatry

Organisation Non-Pharmacy Dispensing Site Newark, NJ

Practice location

Address
654 Mount Prospect Ave # 301, Newark, NJ 07104-3110
Phone
(973) 482-7007

Authorised official

Name
Javier Ponce
Title
Owner
Phone
(973) 482-7007

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 25MD00246800 (NJ)

Registry record

NPI
1619498300
Entity type
Organization
NPI issued
3 Jul 2017
Record last updated
22 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.