Individual
IHOR NICHOLAS PONOMARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 SEYMOUR AVE, SUITE 101, DERBY, CT 06418-1336
(203) 732-3443
(203) 732-4011
Mailing address
350 SEYMOUR AVE, SUITE 101, DERBY, CT 06418-1336
(203) 732-3443
(203) 732-4011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
041556
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415563
—
CT
Enumeration date
07/03/2006
Last updated
05/31/2013
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