Provider Demographics
NPI:1558675801
Name:ROMANA, DUANE (DPM)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:
Last Name:ROMANA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 WELSH RD
Mailing Address - Street 2:APT J-9
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-4764
Mailing Address - Country:US
Mailing Address - Phone:215-407-5816
Mailing Address - Fax:
Practice Address - Street 1:1865 WELSH RD
Practice Address - Street 2:APT J-9
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-4764
Practice Address - Country:US
Practice Address - Phone:215-407-5816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006223213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist