Individual
KLAS D ROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 MANSUR ST, RADIOLOGY DEPARTMENT, LOWELL, MA 01852-2907
(978) 458-1851
Mailing address
155 MANSUR ST, LOWELL, MA 01852-2907
(978) 996-2422
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036438
MA
208D00000X
General Practice Physician
36438
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024853
—
MA
Enumeration date
05/19/2006
Last updated
05/27/2015
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