Individual
ADAM RAPHAEL ROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2520 SNYDER AVE, PHILADELPHIA, PA 19145-3101
(215) 755-7000
(215) 755-3177
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD451630
PA
207Q00000X
Family Medicine Physician
MT200173
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT200173
PA
Other
Enumeration date
06/07/2011
Last updated
08/04/2014
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