Provider Demographics
NPI:1154798098
Name:PONTORIERO, MALGORZATA (HAD)
Entity type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:
Last Name:PONTORIERO
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:MALGORZATA
Other - Middle Name:
Other - Last Name:SALADRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HAD
Mailing Address - Street 1:138 VILLAGE CENTER DR UNIT B-4
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2510
Mailing Address - Country:US
Mailing Address - Phone:732-683-1140
Mailing Address - Fax:732-683-1150
Practice Address - Street 1:138 VILLAGE CENTER DR UNIT B-4
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2510
Practice Address - Country:US
Practice Address - Phone:732-683-1140
Practice Address - Fax:732-683-1150
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00136600237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist