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Individual

DR. RENATO M ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3237 MAPLE AVE, ZANESVILLE, OH 43701-1312
(740) 450-3400
(740) 450-3420
Mailing address
3237 MAPLE AVE, ZANESVILLE, OH 43701-1312
(740) 450-3400
(740) 450-3420

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101054292
VA
207RN0300X
Nephrology Physician
200201306
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010126266
VA
01
171808
ANTHEM
VA
01
597345
MAMSI
VA
01
6028426
CIGNA
VA
05
690585X
NC
Enumeration date
05/17/2006
Last updated
06/06/2013
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