# EDWIN R ROMAN DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114181906
- **Authorized official:** EDWIN R ROMAN DPM (SOLE MBR)
- **Authorized official phone:** (908) 352-1400

## Contact information

- **Practice address:** 230 W JERSEY ST, SUITE 104, ELIZABETH, NJ 07202-1364
- **Practice address phone:** (908) 352-1400
- **Practice address fax:** (908) 352-7900
- **Mailing address:** 230 W JERSEY ST, SUITE 104, ELIZABETH, NJ 07202-1364
- **Mailing address phone:** (908) 352-1400
- **Mailing address fax:** (908) 352-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD002838 | NJ | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 07/11/2008