MEDICARE: NORMA ROMERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225000000X	Orthotic Fitter

General Provider Information

NPI Number	:	1669660585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA ROMERO

Provider Business Mailing Address
First Line	:	1660 SAN PABLO AVE STE 200
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2072
Country	:	US
Telephone Number	:	510-742-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 SAN PABLO AVE STE 200
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2072
Country	:	US
Telephone Number	:	510-742-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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Directions to “ NORMA ROMERO ” Practice Location

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