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Individual
MATTHEW ANTONI ROMAN
Active
Individual
MATTHEW ANTONI ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0011364
DE
207R00000X
Internal Medicine Physician
Primary
MD452451
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1-0011364
DE LICENCE
DE
01
—
MD452451
MEDICAL LICENSE
PA
Enumeration date
08/01/2011
Last updated
07/21/2022
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