Individual
PETER ANTONI ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2434
(216) 844-2288
Mailing address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
(216) 363-7490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.148422
OH
207R00000X
Internal Medicine Physician
57.249590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.249590
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
05/26/2020
Last updated
12/11/2023
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