Individual
DR. STUART ROBERT POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, FND 2, BOSTON, MA 02114-2696
(617) 726-8320
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-8556
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
213856
MA
2085R0202X
Diagnostic Radiology Physician
Primary
213856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173410
—
MA
01
—
213856
TUFTS HEALTH PLAN
MA
01
—
J24687
BCBS MA
MA
Enumeration date
07/06/2006
Last updated
12/13/2012
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