Organization
ROLANDO R ROMAN MD PC
Active
Parent organization
ROLANDORROMANMDPC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROLANDORROMANMDPC
Authorized official
DR. ROLANDO RONQUILLO ROMAN MD (VICE PRESIDENT)
(718) 657-8306
Entity
Organization
Contact information
Practice address
8854 180TH ST, JAMAICA, NY 11432-4738
(718) 657-8306
(718) 657-1464
Mailing address
8854 180TH ST, JAMAICA, NY 11432-4738
(718) 657-8306
(718) 657-1464
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
396583-1
NY
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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