| Dr. Andrew L. Romano D.o. Llc | |
|
703 Mill Creek Rd Suite D Manahawkin NJ 08050-3828 | |
| (609) 549-6787 | |
| Not Available |
| Full Name | Dr. Andrew L. Romano D.o. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 Mill Creek Rd, Manahawkin, New Jersey |
| Authorized Official Name and Position | Andrew Leonard Romano (OWNER) |
| Authorized Official Contact | 6092078939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Andrew L. Romano D.o. Llc 703 Mill Creek Rd Suite D Manahawkin NJ 08050-3828 Ph: (609) 549-6787 | Dr. Andrew L. Romano D.o. Llc 703 Mill Creek Rd Suite D Manahawkin NJ 08050-3828 Ph: (609) 549-6787 |
| NPI Number | 1235422288 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 04/06/2015 |
| Medicare PECOS PAC ID | 0547448797 |
|---|---|
| Medicare Enrollment ID | O20110617000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235422288 | NPI | - | NPPES |
| 0094897 | Medicaid | NJ | |
| PTAN P00738361 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB078548 (New Jersey) | Primary |
| Provider Name | Andrew L Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033153689 PECOS PAC ID: 2961425780 Enrollment ID: I20060213000009 |
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