Individual
KEVIN P. ROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 530-2204
(732) 224-7498
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA65817
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7543905
—
NJ
Enumeration date
07/07/2006
Last updated
07/16/2007
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