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NPI Code Detail

MEDICARE: ROMERO FAMILY PRACTICE

MEDICARE: ROMERO FAMILY PRACTICE
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100X649R01OTHERVACYNTHIA INDIVIDUAL PTAN NUMBER
21922110493OTHERGROUP NPI
31376659300OTHERCYNTHIA INDIVDUAL NPI#
400X649R02OTHERVAALELI INDIVIDUAL PTAN
51750497780OTHERALELI ROMERO IND NPI

General Provider Information

NPI Number : 1922110493
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROMERO FAMILY PRACTICE
Provider Business Mailing Address
First Line : 6009 PROVIDENCE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3808
Country : US
Telephone Number : 757-420-9251
Fax Number : 757-424-5217
Provider Business Practice Location Address
First Line : 6009 PROVIDENCE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3808
Country : US
Telephone Number : 757-420-9251
Fax Number : 757-424-5217
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALELI GELLOR ROMERO
Credential : MD
Telephone Number : 757-420-3521
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/29/2008

Similar Medicare Providers

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Directions to “ROMERO FAMILY PRACTICE ” Practice Location

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