1720148224 NPI number — KATHLEEN EMILY ROMAIN M.D.

Table of content: KATHLEEN EMILY ROMAIN M.D. (NPI 1720148224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720148224 NPI number — KATHLEEN EMILY ROMAIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMAIN
Provider First Name:
KATHLEEN EMILY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720148224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 SUMMERFIELD MEWS
Provider Second Line Business Mailing Address:
FAUCONBERG ROAD
Provider Business Mailing Address City Name:
CHELTENHAM
Provider Business Mailing Address State Name:
GB
Provider Business Mailing Address Postal Code:
GL50 3AU
Provider Business Mailing Address Country Code:
GB
Provider Business Mailing Address Telephone Number:
845-422-4075
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHELTENHAM GENERAL HOSPITAL
Provider Second Line Business Practice Location Address:
SANDFORD ROAD
Provider Business Practice Location Address City Name:
CHELTENHAM
Provider Business Practice Location Address State Name:
GB
Provider Business Practice Location Address Postal Code:
GL53 7AN
Provider Business Practice Location Address Country Code:
GB
Provider Business Practice Location Address Telephone Number:
845-422-4075
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  74179 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)