Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS011188L | PA |
NPI | 1013995588 |
---|---|
Provider Name | Dr. Patrick M. Rommel |
First Address | Philadelphia, PA 19102-1125 |
Second Address | Philadelphia, PA 19102-1125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H48750 | (02) | PA |