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NPI Code Detail

MEDICARE: NERI CORRAL ROMERO PT

MEDICARE: NERI CORRAL ROMERO PT
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
1225100000XPhysical Therapist23363MD

General Provider Information

NPI Number : 1255681664
Entity Type Code : Individual
Provider Name (Legal Business Name) : NERI CORRAL ROMERO PT
Provider Business Mailing Address
First Line : 1801 METZEROTT RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-5101
Country : US
Telephone Number : 301-434-0500
Fax Number :
Provider Business Practice Location Address
First Line : 1801 METZEROTT RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-5101
Country : US
Telephone Number : 301-434-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2012
Last Update Date : 09/12/2012

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Directions to “ NERI CORRAL ROMERO PT” Practice Location

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