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Javier Ricardo Ponce, DPM
Podiatrist in Newark, New Jersey
NPI 1679689764

Javier Ricardo Ponce is a Podiatrist based in Newark, NJ. Javier Ricardo Ponce practices in Newark, NJ and has the professional credentials of DPM. The NPI Number for Javier Ricardo Ponce is 1679689764 and holds a License No. 25MD00246800 (New Jersey).

The current practice location address for Javier Ricardo Ponce is 654 Mount Prospect Ave Ste 301, Newark, NJ and can be reached out via phone at 973-482-7007 and via fax at 973-482-9333.

Location: 654 Mount Prospect Ave Ste 301, Newark, NJ, 07104-3110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679689764
Provider Name
Javier Ricardo Ponce
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
654 Mount Prospect Ave Ste 301, Newark, NJ, 07104-3110
Phone Number
973-482-7007
Fax Number
973-482-9333
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01000308101 01 NJ AMERICHOICE OF NJ
01000308103 01 NJ AMERICHOICE OF NJ
01000308102 01 NJ AMERICHOICE OF NJ
1135990 01 NJ HORIZON NJ HEALTH
P2174641 01 NJ OXFORD
480030704 01 NJ PALMETTO
7857004 05 NJ
01000308100 01 NJ AMERICHOICE OF NJ
1850705 01 NJ FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
654 Mount Prospect Ave Ste 301
City
Newark
State
New Jersey
Zip
07104-3110
Phone Number
973-482-7007
Fax Number
973-482-9333
person
Provider Business Mailing Address Details
Address
654 Mount Prospect Ave Ste 301
City
Newark
State
New Jersey
Zip
07104-3110
Phone Number
973-482-7007
Fax Number
973-482-9333
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
25MD00246800 (New Jersey)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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