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General NPI Number Information
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NPI Number | 1770885048
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Entity Type | Organization
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Legal Business Name | SUZANNE ROMADAN,M.D.,P.C.
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 1349 S ROCHESTER RD STE 130
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3152
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Country | US
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Telephone | 248-446-7711
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Fax | 248-429-1569
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Provider Business Mailing Address
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Address Line | 1349 S ROCHESTER RD STE 130
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3152
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Country | US
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Telephone | 248-446-7711
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Fax | 248-429-1569
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUZANNE ROMADAN
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Credential | M.D.
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Telephone | 248-446-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301079574
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License Number State | MI
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