Provider Information for 1851534242
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MARYELLEN ROMERO PhD
Sex: Female
NPI: 1851534242
Last Updated: 2023-02-22
Certification Date: 2023-02-22
Certification Date: 2023-02-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851534242 | ||||||||
| Enumeration Date | 2009-04-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1430 TULANE AVE # TW22 NEW ORLEANS, LA 70112-2632 United States Phone: 504-988-2300 | Fax:504-988-4270 | ||||||||
| Primary Practice Address | 1415 TULANE AVE NEW ORLEANS, LA 70112-2600 United States Phone: 504-988-2300 | Fax:504-988-4270 | ||||||||
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