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Individual

DR. SAMUEL ROMANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
120 PARK AVE, MADISON, NJ 07940-1559
(973) 377-7088
(973) 377-4722
Mailing address
120 PARK AVE, MADISON, NJ 07940-1559
(973) 377-7088
(973) 377-4722

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01518100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
550810700
TAX ID
NJ
Enumeration date
03/21/2007
Last updated
05/05/2016
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