Provider Demographics
NPI:1851683882
Name:ROME MEDICAL PRACTICE
Entity Type:Organization
Organization Name:ROME MEDICAL PRACTICE
Other - Org Name:DR. ANWAR WASSEL MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-338-7232
Mailing Address - Street 1:1617 N JAMES ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2852
Mailing Address - Country:US
Mailing Address - Phone:315-337-3071
Mailing Address - Fax:315-337-3718
Practice Address - Street 1:1617 N JAMES ST
Practice Address - Street 2:SUITE 800
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2852
Practice Address - Country:US
Practice Address - Phone:315-337-3071
Practice Address - Fax:315-337-3718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty