Individual
FAYEZ ROUMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 PLEASANT ST, SUITE 24, BRADFORD, PA 16701-1098
(814) 362-4075
(814) 362-4075
Mailing address
PO BOX 522, BRADFORD, PA 16701-0522
(814) 362-4075
(814) 362-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037066-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006136650001
—
PA
Enumeration date
06/13/2006
Last updated
07/17/2008
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