Individual
DR. ROGER MASSA COMPONOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PLAZA CT STE C, EAST STROUDSBURG, PA 18301-8263
(570) 421-7020
(570) 421-7091
Mailing address
600 PLAZA CT STE C, EAST STROUDSBURG, PA 18301-8263
(570) 421-7020
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
011695932
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD432295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD432295
MEDICAL LICENSE
PA
Enumeration date
11/08/2006
Last updated
10/14/2025
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