Provider Demographics
NPI:1285807149
Name:ROMA, MARK (VMD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ROMA
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 WHITESVILLE RD
Mailing Address - Street 2:ANIMAL HOSPITAL OF NORTH DOVER
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-2600
Mailing Address - Country:US
Mailing Address - Phone:732-370-6369
Mailing Address - Fax:732-370-6371
Practice Address - Street 1:2119 WHITESVILLE RD
Practice Address - Street 2:ANIMAL HOSPITAL OF NORTH DOVER
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-2600
Practice Address - Country:US
Practice Address - Phone:732-370-6369
Practice Address - Fax:732-370-6371
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00314800174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian