Healthcare Provider Details
I. General information
NPI: 1245650233
Provider Name (Legal Business Name): MAX J ROMANO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2014
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
421 FALLSWAY
BALTIMORE MD
21202-4800
US
IV. Provider business mailing address
2736 GUILFORD AVE
BALTIMORE MD
21218-4415
US
V. Phone/Fax
- Phone: 410-837-5533
- Fax: 410-244-8598
- Phone: 314-324-7237
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | D84677 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: