Individual
DR. WILLIAM A. POMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 OLDE W CHOCOLATE AVE STE 101, HUMMELSTOWN, PA 17036-9188
(717) 531-7010
(717) 531-7102
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD440589
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001248340
PRISM MEDICAID
PA
01
—
102272
PRISM MEDICARE
PA
05
—
1025336820003
—
PA
Enumeration date
12/11/2008
Last updated
03/20/2020
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