| Karl Roman | |
|
23 Colfax Ave Pompton Lakes NJ 07442-1709 | |
| (973) 858-8161 | |
| Not Available |
| Full Name | Karl Roman |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 23 Colfax Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Karl D Roman (PRESIDENT) |
| Authorized Official Contact | 9738000864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karl Roman Po Box 493 Pompton Lakes NJ 07442-0493 Ph: (973) 800-0864 | Karl Roman 23 Colfax Ave Pompton Lakes NJ 07442-1709 Ph: (973) 858-8161 |
| NPI Number | 1942977830 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942977830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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