Roman, Rosa C

Roman, Rosa C is an sole proprietor health care provider with primary practice located at 977 Broad St , Bloomfield NJ 07003-2821. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Roman, Rosa C can be contacted via phone (973) 338-1111.

Contact Information

Primary practice address
977 Broad St Bloomfield NJ 07003-2821
Phone: (973) 338-1111
Fax: (973) 338-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00191600 New Jersey

Profile Details

NPI number 1720160567
LBN Legal business name Roman, Rosa C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Aug 13th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720160567 NPPES
New Jersey Other 1K7458 HEALTHNET
New Jersey Other 6200362 HEALTHNET
New Jersey MEDICAID 4560809 HEALTHNET
New Jersey Other 223116190 HEALTHNET

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