Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | DS037996 | PA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | MD458839 | PA |
NPI | 1023338845 |
---|---|
Provider Name | Dr. Donald E Roland JR. |
First Address | Pottstown, PA 19464-3233 |
Second Address | Pottstown, PA 19464-3233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 24/02/2018 |