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1790895548
AJIT P PONNAMBALAM
TOMS RIVER, NJ
NPI
1790895548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25 MA 05145700)
Enumeration Date
2006-08-30
Last Update Date
2007-09-13
Business Address
-- AJIT P PONNAMBALAM MD
40 BEY LEA RD B-102
TOMS RIVER, NJ 08753
Phone number: 732-244-4994
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Mailing Address
-- AJIT P PONNAMBALAM MD
40 BEY LEA RD B-102
TOMS RIVER, NJ 08753
Phone number: 732-244-4994
Copy
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