Individual
DR. VICTOR ROMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD065029L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001848100 0010
—
PA
05
—
001848100 0011
—
PA
05
—
8525901
—
NJ
Enumeration date
12/28/2006
Last updated
11/25/2014
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