IndividualActive
Abhilasha Ponnamaneni, M.D.
NPI 1548574346 · Family Medicine Physician · Medford, NJ
Provider details
- NPI number
- 1548574346
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA08964100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
639 Stokes Rd
Suite 102
Medford, NJ 08055-3003
Phone: (609) 654-7556
Fax: (609) 714-9228
Approximate (ZIP-level) locationGet directions
Mailing address
811 Sunset Rd
Burlington, NJ 08016-3645
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2012-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.