Individual
ROMNEY KENNETH LADERBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
596 BROADWAY, EVERETT, MA 02149-3743
(617) 387-5185
(617) 387-0827
Mailing address
596 BROADWAY, EVERETT, MA 02149-3743
(617) 387-5185
(617) 387-0827
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
73767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117031
—
MA
01
—
61618
HARVARD PILGRAM HEALTHCAR
MA
01
—
724634
TUFTS HEALTHCARE
MA
01
—
J13623
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
04/13/2006
Last updated
07/08/2007
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