Individual
DR. DIANA CHUONG PONSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, DEPT OF OTOLARYNGOLOGY, CLEVELAND, OH 44106-1716
(216) 544-8684
(216) 229-7969
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
35-090913
OH
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD034843
DC
208200000X
Plastic Surgery Physician
35.090913
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022531320001
—
PA
05
—
2884115
—
OH
01
—
P00682018
RAILROAD MEDICARE
OH
Enumeration date
09/21/2006
Last updated
07/14/2011
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