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Individual
DOLORES ANN ROMAN
Active
Individual
DOLORES ANN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB077805
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MBN077805
STATE LICENSE
NJ
01
—
DO8586800
STNA
NJ
Enumeration date
10/18/2006
Last updated
10/23/2014
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