Individual
RICHARD MICHAEL POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S CATON AVE, DEPT. OF MEDICINE, ST. AGNES HOSPITAL, BALTIMORE, MD 21229-5201
(410) 368-8723
(410) 368-3525
Mailing address
900 S CATON AVE, DEPT. OF MEDICINE, ST. AGNES HOSPITAL, BALTIMORE, MD 21229-5201
(410) 368-8723
(410) 368-3525
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0071086
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040911201
UNIVERA
NY
01
—
005241971
BC/BS OF WESTERN NY
NY
05
—
01349600
—
NY
01
—
060020559
MEDICARE RAILROAD
NY
01
—
2190413
INDEPENDENT HEALTH
NY
01
—
6935
BLUE SHIELD
NY
01
—
7760214
AETNA
NY
01
—
NY0027181
CHAMPUS
NY
01
—
P010164177
BLUE CHOICE
NY
Enumeration date
06/13/2006
Last updated
04/27/2018
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