Doctor Name: | LUCRETIA S ROMERO |
NPI Number: | 1033364419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-PAC |
License Number: | 25MP00211000 |
Business Practice Address: | 1217 N Church St Moorestown, NJ - 080571143 |
Business Phone Number: | 8562342828 |
Business Fax Number: | 8562358931 |
Mailing Address: | 8 Windermere Dr, LUMBERTON |
State: | NJ |
Postal Code: | 080485802 |
Phone Number: | 6095186525 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2008 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00211000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |