Individual
MARTHA JEAN PONITZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1270
Mailing address
44 MAIN ST, WATERVILLE, ME 04901-6673
(207) 872-1136
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019370
ME
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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