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Organization

NORTHEAST KNEE AND JOINT INSTITUTE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN ROMAN MD (OWNER)
(570) 601-4722
Entity
Organization

Contact information

Practice address
3832 YALICK PLAZA ROUTE 415, UNIT 7, DALLAS, PA 18612-7753
(570) 213-5221
(570) 227-3316
Mailing address
PO BOX 3367, WILLIAMSPORT, PA 17701-0367
(570) 213-5221
(570) 227-3316

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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