Individual
AILEEN K ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE, YACC 4, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
106330
ZZ
207Q00000X
Family Medicine Physician
Primary
265193
MA
Other
Enumeration date
09/22/2015
Last updated
01/11/2016
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