Individual
JEFFREY L PONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7874
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HEIGHTS, OH 44122
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35035782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221283
UNISON
OH
01
—
000000503716
ANTHEM
OH
05
—
0309035
—
OH
01
—
363924
WELLCARE
OH
01
—
4077734
AETNA
OH
01
—
738086
BUCKEYE
OH
01
—
P00358838
RAILROAD MEDICARE
OH
Enumeration date
02/08/2006
Last updated
02/29/2008
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