Individual
NATHAN WALTER PONITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-1959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D02650
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2012
Last updated
07/11/2016
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