Domenick J Roma in Savannah - Student In An Organized Health Care Education/training Program

Domenick J Roma - NPI 1023278967

Domenick J Roma is a Student In An Organized Health Care Education/training Program in Savannah, Georgia. Domenick J Roma practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Domenick J Roma is 1023278967. The last update date is 2022-01-27.

Domenick J Roma's current location address is 4700 Waters Ave Ste 507, Savannah, Georgia. You can contact this provider via phone number 9123504750 and fax number 9123504751. The mailing address for Domenick J Roma is 4700 Waters Ave Ste 507, Savannah, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Domenick J Roma
Address 4700 Waters Ave Ste 507, Savannah, Georgia
Phone Number 9123504750
Fax Number 9123504751
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1023278967
Provider Enumeration Date 2008-06-13
Last Updated Date 2022-01-27

Provider Mailing Address Detail

Address 4700 Waters Ave Ste 507
City Savannah
State Georgia (GA)
Post Code 314046220
Phone Number 9123504750
Fax Number 9123504751

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 148977
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
003143431A GA --
P01289982 GA RAILROAD MEDICARE
GA1598 SC --

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FAQs about Domenick J Roma

What is the unique provider identifier assigned to Domenick J Roma?

The Domenick J Roma has been issued the NPI (National Provider Identifier) 1023278967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Domenick J Roma's physical address?

The Domenick J Roma is physically located at 4700 Waters Ave Ste 507, in the city of Savannah, GA, with the postal code 314046220.

What is Domenick J Roma's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Domenick J Roma's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1023278967 to Domenick J Roma?

The Domenick J Roma received its 1023278967 assignment from the Centers for Medicare & Medicaid Services on 2008-06-13.

As of what date were the details related to Domenick J Roma most recently updated or revised?

The information pertaining to Domenick J Roma, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-27.

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