1548629561 NPI number — EUGENE F. ROGINSKY, JR., D.M.D., P.C.

Table of content: DR. MONTY LEE GOHL MD (NPI 1376541219)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548629561 NPI number — EUGENE F. ROGINSKY, JR., D.M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EUGENE F. ROGINSKY, JR., D.M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548629561
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
290 KING OF PRUSSIA RD
Provider Second Line Business Mailing Address:
BUILDING 1, SUITE 310
Provider Business Mailing Address City Name:
RADNOR
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19087-5107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-780-5179
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 E MARKET ST
Provider Second Line Business Practice Location Address:
4 AND 5
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17402-2858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-254-5081
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/18/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ROGINSKY
Authorized Official First Name:
EUGENE
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-254-5081

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  DS030775L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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