Doctor Name: | SONJA MACK-ROMERO |
NPI Number: | 1255786802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1014 5th Ave Asbury Park, NJ - 077125015 |
Business Phone Number: | 7325817898 |
Business Fax Number: | |
Mailing Address: | 1014 5th Ave, ASBURY PARK |
State: | NJ |
Postal Code: | 077125015 |
Phone Number: | 7325817898 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2016 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |