Individual
RAYMOND M PONGONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3900 STONERIDGE LN STE C, DUBLIN, OH 43017-2289
(614) 366-9324
(614) 366-9339
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-9324
(614) 293-9339
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.003156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461950
—
OH
Enumeration date
12/27/2005
Last updated
03/23/2021
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