Provider Demographics
NPI:1134223613
Name:POMERANTZ, ANDREW S (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:POMERANTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:215 N MAIN ST
Mailing Address - Street 2:MENTAL HEALTH 116A
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-3833
Mailing Address - Country:US
Mailing Address - Phone:802-295-9363
Mailing Address - Fax:802-296-6389
Practice Address - Street 1:215 N MAIN ST
Practice Address - Street 2:MENTAL HEALTH 116A
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-3833
Practice Address - Country:US
Practice Address - Phone:802-295-9363
Practice Address - Fax:802-296-6389
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT042-00047422084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry