Individual
ROSA C ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
977 BROAD ST, BLOOMFIELD, NJ 07003-2821
(973) 338-1111
(973) 338-1119
Mailing address
977 BROAD ST, BLOOMFIELD, NJ 07003-2821
(973) 338-1111
(973) 338-1119
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00191600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K7458
HEALTHNET
NJ
01
—
223116190
HORIZON BC/BS
NJ
05
—
4560809
—
NJ
01
—
6200362
GHI
NJ
Enumeration date
10/20/2006
Last updated
08/13/2008
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