Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 52844 | MA |
Y | 207RI0200X | Infectious Disease | MD042740L | PA |
NPI | 1033576384 |
---|---|
Provider Name | Dr. Roger J. Pomerantz |
First Address | Chalfont, PA 18914-1526 |
Second Address | Chalfont, PA 18914-1526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2016 |
Last Update Date | 22/01/2016 |