Individual
DAVID S POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 SCHOOL STREET, SUITE #216, PAWTUCKET, RI 02860
(401) 728-6990
(401) 729-0930
Mailing address
333 SCHOOL STREET, SUITE #216, PAWTUCKET, RI 02860
(401) 728-6990
(401) 729-0930
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD08338
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015589
RR MEDICARE
—
01
—
079023299
PLAN NUMBER
—
01
—
221435
BLUE CROSS
—
01
—
402326
BLUECHIP
—
Enumeration date
07/14/2006
Last updated
04/19/2013
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