MEDICARE: JOHN ROMANO MD INC

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	208200000X	Plastic Surgery Physician	G47782	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447523014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN ROMANO MD INC

Provider Business Mailing Address
First Line	:	39380 CIVIC CENTER DR STE B
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-6719
Country	:	US
Telephone Number	:	510-794-5010
Fax Number	:	510-794-5143

Provider Business Practice Location Address
First Line	:	39380 CIVIC CENTER DR STE B
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94538-6719
Country	:	US
Telephone Number	:	510-794-5010
Fax Number	:	510-794-5143

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN A ROMANO
Credential	:	MD
Telephone Number	:	510-794-5010

Provider Enumeration Date	:	02/13/2012
Last Update Date	:	02/13/2012

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Directions to “JOHN ROMANO MD INC ” Practice Location

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