Provider Demographics
NPI:1124147327
Name:ROMANO, JOSEPH MARIO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MARIO
Last Name:ROMANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 KEYSTONE AVE # 492
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4304
Mailing Address - Country:US
Mailing Address - Phone:775-742-6611
Mailing Address - Fax:
Practice Address - Street 1:561 KEYSTONE AVE # 492
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4304
Practice Address - Country:US
Practice Address - Phone:775-742-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33317207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services