Provider Demographics
NPI:1508364951
Name:PONTORIERO, FRANCESCO (DO)
Entity Type:Individual
Prefix:
First Name:FRANCESCO
Middle Name:
Last Name:PONTORIERO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1832
Mailing Address - Country:US
Mailing Address - Phone:732-745-3029
Mailing Address - Fax:228-262-0526
Practice Address - Street 1:1490 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1832
Practice Address - Country:US
Practice Address - Phone:732-745-3029
Practice Address - Fax:228-262-0526
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH84851207ZF0201X, 207ZP0102X, 207ZP0213X
PAOS019364207ZF0201X, 207ZP0102X, 207ZP0213X
NJ25MB10504000207ZF0201X, 207ZP0102X, 207ZP0213X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology