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NPI Code Detail

MEDICARE: KENNETH JOHN POMPILIO MD

MEDICARE:   KENNETH JOHN POMPILIO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianD0029467MD

Other Identifiers

General Provider Information

NPI Number : 1649374356
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH JOHN POMPILIO MD
Provider Business Mailing Address
First Line : 303 WASHINGTON STREET
Second Line : KENNETH J POMPILIO MD PA
City : CUMBERLAND
State : MD
Zip : 21502-2828
Country : US
Telephone Number : 301-722-2200
Fax Number : 301-722-2206
Provider Business Practice Location Address
First Line : 303 WASHINGTON STREET
Second Line : KENNETH J POMPILIO MD PA
City : CUMBERLAND
State : MD
Zip : 21502-2828
Country : US
Telephone Number : 301-722-2200
Fax Number : 301-722-2206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 04/30/2012

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Directions to “ KENNETH JOHN POMPILIO MD” Practice Location

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