Individual
BENJAMIN G ROMICK
Active
Individual
BENJAMIN G ROMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18196
MT
207RC0000X
Cardiovascular Disease Physician
252877
NY
207RC0000X
Cardiovascular Disease Physician
A114506
CA
207RI0011X
Interventional Cardiology Physician
301871
LA
207RI0011X
Interventional Cardiology Physician
Primary
786894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114506
STATE MEDICAL LICENSE
CA
Enumeration date
07/19/2006
Last updated
06/25/2021
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