Organization
JEFFERSONVILLE INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CONRAD ROMAN D.O. (PRESIDENT)
(610) 635-1712
Entity
Organization
Contact information
Practice address
1550 W MAIN ST, JEFFERSONVILLE, PA 19403-3228
(610) 635-1712
(610) 635-1716
Mailing address
1550 W MAIN ST, JEFFERSONVILLE, PA 19403-3228
(610) 635-1712
(610) 635-1716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS009124L
PA
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
09/11/2025
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