Roman Bronfenbrener, MD
Roman Bronfenbrener, MD is a Micrographic Dermatologic Surgery (Mds) in Southampton, Pennsylvania. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2012, 14 years ago. Practices with Dermatology Specialists of Pennsylvania, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 14
- Trained at
- Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
- Licensed in
- PA
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1122 Street Rd Ste 204Southampton, PA 18966-4218
Phone: (215) 999-7546
Fax: (215) 608-6008
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence MD457011 (PA) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence MD457011 (PA) |
Record details
| NPI number | 1134488638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2012 |
| Last updated in NPPES | April 5, 2024 |
| Certification date | March 16, 2021 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC) |
| Graduated | 2012 (14 years in practice) |
| Group practice | Dermatology Specialists Of Pennsylvania — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |