Individual
DOLORES ANN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3000
Mailing address
35 W HAMPTON RD, PHILADELPHIA, PA 19118-3610
(215) 919-3070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB077805
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MBN077805
STATE LICENSE
NJ
01
—
DO8586800
STNA
NJ
Enumeration date
10/18/2006
Last updated
10/23/2014
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