Provider Demographics
NPI:1023037520
Name:ROMANO, CARMEN (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:
Last Name:ROMANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MAIN ST
Mailing Address - Street 2:MADISON
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2209
Mailing Address - Country:US
Mailing Address - Phone:973-377-6700
Mailing Address - Fax:973-377-8008
Practice Address - Street 1:210 MAIN ST
Practice Address - Street 2:MADISON
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2209
Practice Address - Country:US
Practice Address - Phone:973-377-6700
Practice Address - Fax:973-377-8008
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00562600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ810594292DOtherBC/BS
NJ810594292DOtherBC/BS
NJU83514Medicare UPIN