Provider Demographics
NPI:1780687483
Name:ROMBERGER, JAMES A (MD)
Entity Type:Individual
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First Name:JAMES
Middle Name:A
Last Name:ROMBERGER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11279 PERRY HWY
Mailing Address - Street 2:STE 450
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9303
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:724-933-1160
Practice Address - Street 1:5608 WILKINS AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1281
Practice Address - Country:US
Practice Address - Phone:412-422-3590
Practice Address - Fax:412-422-3759
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2010-03-25
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Provider Licenses
StateLicense IDTaxonomies
PAMD030984E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010377760012Medicaid
PA0010377760012Medicaid