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1710500780
FERDINAND PONTEJOS
HACKENSACK, NJ
NPI
1710500780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NJ 26NJ01031500)
Enumeration Date
2020-05-25
Last Update Date
2024-08-09
Business Address
FERDINAND PONTEJOS
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
FERDINAND PONTEJOS
228 CAPRI TER
PARK RIDGE, NJ 07656-2440
Phone number: 201-259-0038
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