Individual
DR. JAY M POMERANTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 DWIGHT RD, LONGMEADOW, MA 01106-1748
(413) 567-1591
(413) 567-2010
Mailing address
123 DWIGHT RD, LONGMEADOW, MA 01106-1748
(413) 567-1591
(413) 567-2010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029751
MEDICAL LICENSE
MA
Enumeration date
05/03/2006
Last updated
07/08/2007
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