Provider Demographics
NPI:1710985627
Name:ROMAN, ADELE EDITH
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:EDITH
Last Name:ROMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ADELE
Other - Middle Name:EDITH
Other - Last Name:GOLDBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1150 BOWER HILL RD
Mailing Address - Street 2:APT. 902 B
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1349
Mailing Address - Country:US
Mailing Address - Phone:412-429-5138
Mailing Address - Fax:
Practice Address - Street 1:1045 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1842
Practice Address - Country:US
Practice Address - Phone:412-942-4900
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP023507L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist