Individual
TERESA L. ROMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2825 LIVERNOIS, TROY, MI 48083
(248) 528-2310
Mailing address
HENRY FORD HEALTH SYSTEM, 2825 LIVERNOIS, TROY, MI 48083
(248) 528-2310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
051366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266315610
—
MI
01
—
700H262200
BLUE CROSS-BLUE CROSS
—
01
—
TR051366
CHAMPUS-CHAMPUS
—
Enumeration date
11/01/2006
Last updated
08/02/2012
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