MEDICARE: DR. JAMES JOHN ROMANO M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	G63080	CA

General Provider Information

NPI Number	:	1124143797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES JOHN ROMANO M.D.

Provider Business Mailing Address
First Line	:	1650 JACKSON ST STE 101
Second Line	:	#101
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-3059
Country	:	US
Telephone Number	:	415-981-3911
Fax Number	:	415-520-9868

Provider Business Practice Location Address
First Line	:	1650 JACKSON ST STE 101
Second Line	:	#101
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-3059
Country	:	US
Telephone Number	:	415-981-3911
Fax Number	:	415-520-9868

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	03/16/2018

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