Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2012-02402 | NC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 25MA10171400 | NJ |
NPI | 1255626271 |
---|---|
Provider Name | Dr. James A Romano |
First Address | Marlton, NJ 08053-3135 |
Second Address | Marlton, NJ 08053-3135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 17/03/2018 |