Individual
JENELLE L. ROMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
Mailing address
152 LEHIGH AVE, PALMERTON, PA 18071-1714
(610) 393-6328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062050
PA
363AM0700X
Medical Physician Assistant
017898
NY
Other
Enumeration date
09/09/2014
Last updated
06/22/2023
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