Individual
ROMA VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 GREENSPRING AVE, KENNEDY KRIEGER INSTITUTE, DEPTARTMENT OF PSYCHIATRY, BALTIMORE, MD 21211
(443) 923-2643
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D44434
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370741500
—
MD
Enumeration date
06/12/2006
Last updated
11/19/2012
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