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Individual
MARTIN JOHANN PONTASCH
Active
Individual
MARTIN JOHANN PONTASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35058998P
OH
207P00000X
Emergency Medicine Physician
Primary
036170623
IL
207P00000X
Emergency Medicine Physician
2015-01079
NC
208D00000X
General Practice Physician
ME100079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344358
ANTHEM
—
05
—
0874406
—
OH
01
—
NCS251A
MEDICARE PTAN
NC
01
—
NCS251A194
MEDICARE PTAN
NC
01
—
NCS251B
MEDICARE PTAN
NC
Enumeration date
10/05/2006
Last updated
06/27/2024
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