Provider Demographics
NPI:1740228402
Name:ROMANO, PONTZER & ASSOCIATES, LIMITED
Entity Type:Organization
Organization Name:ROMANO, PONTZER & ASSOCIATES, LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PONTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-348-0330
Mailing Address - Street 1:9104 BABCOCK BLVD
Mailing Address - Street 2:STE 2116
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5818
Mailing Address - Country:US
Mailing Address - Phone:412-348-0330
Mailing Address - Fax:412-348-0338
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:STE 2116
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:412-348-0330
Practice Address - Fax:412-348-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012195450010Medicaid