Individual
VAEDA PONTOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12547 OCEAN GTWY, OCEAN CITY, MD 21842-9689
(410) 213-0119
Mailing address
1029 EASTON TPKE, LAKE ARIEL, PA 18436-4714
(570) 466-7690
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0009648
MD
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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