Roman, Edwin R
Roman, Edwin R is an sole proprietor health care provider with primary practice located at 430 Morris Ave , Elizabeth NJ 07208-3609. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Roman, Edwin R can be contacted via phone (908) 352-1400.Contact Information
Primary practice address
430 Morris Ave
Elizabeth NJ 07208-3609
Phone: (908) 352-1400
Fax: (908) 352-7900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00283800 | New Jersey |
Profile Details
| NPI number | 1407871700 |
|---|---|
| LBN Legal business name | Roman, Edwin R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jun 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407871700 | NPPES |
| New Jersey | MEDICAID | 0084328 |
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