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General NPI Number Information
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NPI Number | 1033576384
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Entity Type | Individual
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Provider Name | ROGER J. POMERANTZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 711 HARVEST HILL DR
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City | CHALFONT
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State | PA
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Zip | 18914-1526
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Country | US
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Telephone | 609-933-7321
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Fax |
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Provider Business Mailing Address
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Address Line | 711 HARVEST HILL DR
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City | CHALFONT
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State | PA
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Zip | 18914-1526
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Country | US
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Telephone | 609-933-7321
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD042740L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 52844
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License Number State | MA
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