Individual
IRENE PAULA SAN ROMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
5111 GLENEAGLES WAY, SUFFOLK, VA 23435-4206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101239657
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101239657
VA
Other
Enumeration date
04/10/2006
Last updated
09/11/2025
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