Individual
JOHN L ROMBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, 4 PARKINSON PAVILION/ZONE C, PHILADELPHIA, PA 19140-5103
(215) 707-7725
Mailing address
3401 N BROAD ST, TEMPLE UNIVERSITY DEPT. OF SURGERY, PHILADELPHIA, PA 19140-5103
(215) 707-7725
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD021992E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007185780001
—
PA
Enumeration date
07/04/2006
Last updated
03/22/2011
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