Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005997 | NY |
NPI | 1194880047 |
---|---|
Provider Name | Dr. David Joseph Romano |
First Address | Glen Dale, WV 26038-0166 |
Second Address | Glen Dale, WV 26038-1416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 20/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V00341 | (02) | NY |