Doctor Name: | KLAS D ROMBERG |
NPI Number: | 1437102464 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 36438 |
Business Practice Address: | 155 Mansur St Radiology Department Lowell, MA - 018522907 |
Business Phone Number: | 9784581851 |
Business Fax Number: | |
Mailing Address: | 155 Mansur St, LOWELL |
State: | MA |
Postal Code: | 018522907 |
Phone Number: | 9789962422 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 36438 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |