| Doctor Name: | MR. GEORGE JOSEPH ROME |
| NPI Number: | 1043442866 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.N.P. |
| License Number: | AP02600 |
| Business Practice Address: | 15790 Paul Vega Md Dr Hammond, LA - 704031434 |
| Business Phone Number: | 9852306316 |
| Business Fax Number: | 9852306830 |
| Mailing Address: | 15790 Paul Vega Md Dr, Finance Department HAMMOND |
| State: | LA |
| Postal Code: | 704031434 |
| Phone Number: | 9852306316 |
| Fax Number: | 9852306830 |
| NPI Enumeration Date: | 08/12/2009 |
| NPI Last Update Date: | 08/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | AP02600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |