Provider Demographics
NPI:1114563327
Name:ROMERO-SACKEY, KWAME AMANCIO (MD)
Entity Type:Individual
Prefix:
First Name:KWAME
Middle Name:AMANCIO
Last Name:ROMERO-SACKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AMANCIO
Other - Middle Name:
Other - Last Name:ROMERO-SACKEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:345 SAINT PAUL ST BLDG 7TH
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2123
Mailing Address - Country:US
Mailing Address - Phone:410-332-9694
Mailing Address - Fax:
Practice Address - Street 1:345 SAINT PAUL ST BLDG 7TH
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2123
Practice Address - Country:US
Practice Address - Phone:404-725-2790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program