Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA54400 | NJ |
NPI | 1033186937 |
---|---|
Provider Name | Dr. Scott B Pomerantz |
First Address | Paramus, NJ 07652-4737 |
Second Address | Paramus, NJ 07652-4737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 19/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E44395 | (02) | NJ |