Irene Paula San Roman M.D.

NPI 1023071057 - Internal Medicine - 207R00000X

NPI Details
NPI 1023071057
Gender Female
Enumeration Date 04/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 EMANCIPATION DR
HAMPTON VA, 23667-0001, US
Phone (757) 722-9961
Fax
Business Location
5111 GLENEAGLES WAY
SUFFOLK VA, 23435-4206, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Virginia
License Number 0101239657
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According to our database, Irene Paula San Roman M.D. NPI is 1023071057, taxonomy code is 207R00000X and license number is 0101239657, license state is located at Virginia. Irene Paula San Roman M.D. physically located at 100 Emancipation Dr, Hampton VA, 23667-0001. NPI Number Irene Paula San Roman M.D. has the Individual type.

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1023071057 NPI number is provided on an as is basis without warranty of any kind. 1023071057 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Paula San Roman M.D. are for informational purposes only.