Dr. Antonio Roman
Family Doctor
1107a Brookdale St
Martinsville
, Virginia 24112-4501
Dr. Antonio Roman
Family Doctor
1107a Brookdale St
Martinsville
, Virginia 24112-4501
(276) 634-0379
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Antonio Roman
- 1107a Brookdale St
- Martinsville, VA
- Zip : 24112-4501
- Fax : (276) 634-0379
- Phone : (276) 670-3300
Second Address
- Dr. Antonio Roman
- 1107a Brookdale St
- Martinsville, VA
- Zip : 24112-4501
- Fax : (276) 634-0379
- Phone : (276) 670-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0101267090 | VA |
National Provider Identifier
| NPI | 1003261496 |
|---|---|
| Provider Name | Dr. Antonio Roman |
| First Address | Martinsville, VA 24112-4501 |
| Second Address | Martinsville, VA 24112-4501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2016 |
| Last Update Date | 11/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.