Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 57022831 | OH |
Y | 207PE0004X | Emergency Medical Services | 266109 | MA |
NPI | 1184059735 |
---|---|
Provider Name | Douglas A Romney |
First Address | Gardner, MA 01440 |
Second Address | Gardner, MA 01440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2013 |
Last Update Date | 29/12/2016 |