Individual
KELLY E ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 KNIGHTSBRIDGE RD STE 625, PISCATAWAY, NJ 08854-3948
(732) 235-3289
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-5000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
123456
NJ
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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