Provider Demographics
NPI:1194717090
Name:ROMMEL, CATHERINE T (MD)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:T
Last Name:ROMMEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 NOLL DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7600
Mailing Address - Country:US
Mailing Address - Phone:717-393-7980
Mailing Address - Fax:717-509-5079
Practice Address - Street 1:2115 NOLL DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7600
Practice Address - Country:US
Practice Address - Phone:717-393-7980
Practice Address - Fax:717-509-5079
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025487E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009568650005Medicaid
PA0009568650005Medicaid
C29877Medicare UPIN