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NPI Code Detail

MEDICARE: KARL ROMAN

MEDICARE: KARL ROMAN
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1528735412
Entity Type Code : Organization
Provider Name (Legal Business Name) : KARL ROMAN
Provider Business Mailing Address
First Line : PO BOX 493
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-0493
Country : US
Telephone Number : 973-858-8163
Fax Number :
Provider Business Practice Location Address
First Line : 400 RAMAPO AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1825
Country : US
Telephone Number : 973-858-8163
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KARL D ROMAN
Credential : MSW, LCSW, SAP
Telephone Number : 973-800-0864
Provider Enumeration Date : 08/27/2021
Last Update Date : 08/09/2024

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Directions to “KARL ROMAN ” Practice Location

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