Individual
AVIVA JILL ROMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 W ALFORD ROAD, W STOCKBRIDGE, MA 01266
(413) 591-0543
Mailing address
PO BOX 85, WEST STOCKBRIDGE, MA 01266-0085
(413) 591-0543
(413) 362-7435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
253326
MA
207Q00000X
Family Medicine Physician
9040902
NY
Other
Enumeration date
04/13/2009
Last updated
05/17/2019
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