Individual
EDWIN R ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
430 MORRIS AVE, ELIZABETH, NJ 07208-3609
(908) 352-1400
(908) 352-7900
Mailing address
PO BOX 493, ELIZABETH, NJ 07207-0493
(908) 352-1400
(908) 352-7900
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00283800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084328
—
NJ
Enumeration date
07/13/2006
Last updated
06/14/2023
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