Individual
NANCY ROMAN
Active
Individual
NANCY ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD058040L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018158990001
—
PA
01
—
0181589901
AMERICHOICE
PA
01
—
0548839000
KEYSTONE HEALTHPLAN EAST
PA
01
—
273419
BLUE SHIELD PA
PA
01
—
3503472
AETNA
PA
Enumeration date
10/24/2006
Last updated
11/07/2018
Update your record
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