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General NPI Number Information
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NPI Number | 1972520765
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Entity Type | Organization
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Legal Business Name | PONZIO ORTHOPEDICS
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 449 HURFFVILLE CROSSKEYS RD SUITE 1
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City | SEWELL
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State | NJ
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Zip | 08080-9369
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Country | US
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Telephone | 856-582-7979
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Fax | 856-582-4259
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Provider Business Mailing Address
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Address Line | 449 HURFFVILLE CROSSKEYS RD SUITE 1
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City | SEWELL
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State | NJ
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Zip | 08080-9369
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Country | US
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Telephone | 856-582-7979
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Fax | 856-582-4259
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ROBERT J PONZIO
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Credential | DO
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Telephone | 856-582-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MB52501
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License Number State | NJ
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