Provider Demographics
NPI:1790248003
Name:KERR-ROMANO, JERAMIE PAIGE (MD)
Entity Type:Individual
Prefix:DR
First Name:JERAMIE
Middle Name:PAIGE
Last Name:KERR-ROMANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JERAMIE
Other - Middle Name:PAIGE
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-1016
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:1 HEALTH PLZ BLDG 315
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1016
Practice Address - Country:US
Practice Address - Phone:862-778-7960
Practice Address - Fax:973-781-6505
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11856700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine