Michelle Evans-Pontrelli, MD
Internal Medicine, Infectious Disease in Newark, NJ. Individual provider (NPI-1).
NPI number1013476894
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1013476894
- Entity type
- Individual (NPI-1)
- Name
- Michelle Evans-Pontrelli
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 25MA12306900 | NJ | Yes |
Practice location
201 Lyons AveNewark, NJ 07112-2027
Phone 516-491-1202
Mailing address
215 Carlton AvePiscataway, NJ 08854-3009
Phone 516-491-1202
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