MEDICARE: MARIA SOLEDAD ROMERO MD

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	207W00000X	Ophthalmology Physician	D0074500	MD

General Provider Information

NPI Number	:	1174722763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA SOLEDAD ROMERO MD

Provider Business Mailing Address
First Line	:	6629 CHARLESWAY
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-6810
Country	:	US
Telephone Number	:	410-982-7172
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 W 40TH ST STE 301
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-2109
Country	:	US
Telephone Number	:	410-377-2422
Fax Number	:

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

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	12/17/2018

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