Organization Name: | POND MEDICAL GROUP LLC |
NPI Number: | 1003153693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN BARLOW (PRESIDENT, JUPITER PROFESSIONAL DEV) |
Mailing Address: | 4345 Us Highway 9 Freehold |
State: | NJ US |
Postal Code: | 077284215 |
Phone Number: | 7324315300 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |