| Ponos Medical Care New Jersey, Pc | |
|
1501 Maple Ave Ste 305 Richmond VA 23226-2553 | |
| (757) 704-1000 | |
| Not Available |
| Full Name | Ponos Medical Care New Jersey, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Maple Ave Ste 305, Richmond, Virginia |
| Authorized Official Name and Position | Gilberto Bultron (OWNER) |
| Authorized Official Contact | 7577041000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponos Medical Care New Jersey, Pc 100 M St Se Ste 600 Washington DC 20003-3648 Ph: () - | Ponos Medical Care New Jersey, Pc 1501 Maple Ave Ste 305 Richmond VA 23226-2553 Ph: (757) 704-1000 |
| NPI Number | 1245166289 |
|---|---|
| Provider Enumeration Date | 06/18/2026 |
| Last Update Date | 06/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245166289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 251F00000X | Home Infusion | (* (Not Available)) | Secondary |
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