Individual
ROMAN Y DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4621
(724) 773-4696
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4621
(724) 773-4696
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033851L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967537
—
PA
Enumeration date
08/12/2006
Last updated
07/08/2007
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