Provider Demographics
NPI:1528050531
Name:PONS, JULIA F (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:F
Last Name:PONS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:550 MOUNT PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-1530
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:973-482-0893
Practice Address - Street 1:550 MOUNT PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-1530
Practice Address - Country:US
Practice Address - Phone:973-482-4697
Practice Address - Fax:973-482-0893
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA0327842080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C55325Medicare UPIN