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Individual

DR. LAURA V. ROMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3821
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3821

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
75122
MA
2085R0202X
Diagnostic Radiology Physician
Primary
75122
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3153096
MA
Enumeration date
10/28/2005
Last updated
10/18/2011
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