Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | X008240 | NY |
Y | 207R00000X | Internist | 25MB10215600 | NJ |
Y | 111NI0900X | Internist | 25MB10215600 | NJ |
N | 207R00000X | Internist | 275282 | NY |
N | 111NI0900X | Internist | 275282 | NY |
NPI | 1740325414 |
---|---|
Provider Name | Dr. Richard David Romano |
First Address | Boston, MA 02241-6457 |
Second Address | Springfield, NJ 07081-1224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U61373 | (02) | NY |