Individual
DR. EVER IVAN PONCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 797-0210
Mailing address
354 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 797-0210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0434380
KS
207R00000X
Internal Medicine Physician
Primary
D83234
MD
390200000X
Student in an Organized Health Care Education/Training Program
MT191689
PA
Other
Enumeration date
08/01/2007
Last updated
06/24/2020
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