Individual
ELISA L ROMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 GROSSMAN DR, INTERNAL MEDICINE, BRAINTREE, MA 02184-4997
(781) 849-1000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017389
NEIGHBORHOOD HEALTH
MA
05
—
3024059
—
MA
01
—
724140
TUFTS
MA
01
—
J06694
BLUE CROSS
MA
01
—
M269
HARVARD PILGRIM
MA
Enumeration date
06/27/2006
Last updated
11/17/2020
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