Individual
HERNANDO ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 EDWARD ST, WORCESTER, MA 01605-2946
(508) 755-8177
(508) 753-9101
Mailing address
36 EDWARD ST, WORCESTER, MA 01605-2946
(508) 755-8177
(508) 753-9101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31290
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174173
—
MA
01
—
105811
MAGELLAN
MA
01
—
N01561
BLUE CROSS
MA
Enumeration date
08/03/2006
Last updated
07/08/2007
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