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Individual

ESTEBAN O. ROMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2750 GAUSE BLVD. EAST, SLIDELL, LA 70461
(985) 639-3777
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
05067R
LA
208800000X
Urology Physician
Primary
MD.05067R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122890
MS
05
1321923
LA
01
P00396218
RAILROAD MEDICARE
LA
Enumeration date
07/19/2005
Last updated
11/05/2014
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