Individual
ROMAN BRONFENBRENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1122 STREET RD STE 204, SOUTHAMPTON, PA 18966-4218
(215) 999-7546
(215) 608-6008
Mailing address
1122 STREET RD STE 204, SOUTHAMPTON, PA 18966-4218
(215) 999-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD457011
PA
207ND0101X
MOHS-Micrographic Surgery Physician
MD457011
PA
Other
Enumeration date
05/04/2012
Last updated
04/05/2024
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