Individual
BRUCE POMERANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MARKET ST, SADDLE BROOK, NJ 07663-5309
(201) 368-6047
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
25MA05980300
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05980300
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA05980300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004375
—
NJ
Enumeration date
10/12/2005
Last updated
10/17/2012
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