Individual
MICHELLE PONIATOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2032 COTTMAN AVE, PHILADELPHIA, PA 19149-1119
(215) 742-7767
(215) 742-6811
Mailing address
2032 COTTMAN AVE, PHILADELPHIA, PA 19149-1119
(215) 742-7767
(215) 742-6811
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F3455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220
HEARING AID SPECIALIST
PA
Enumeration date
03/18/2015
Last updated
03/18/2015
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