Provider Demographics
NPI:1891058632
Name:ROMAN, KLARA ANNA (MD)
Entity Type:Individual
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First Name:KLARA
Middle Name:ANNA
Last Name:ROMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1910 SASSAFRAS ST
Mailing Address - Street 2:STE 100
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2716
Mailing Address - Country:US
Mailing Address - Phone:814-835-2041
Mailing Address - Fax:814-835-2806
Practice Address - Street 1:2314 SASSAFRAS ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2722
Practice Address - Country:US
Practice Address - Phone:814-452-5105
Practice Address - Fax:814-452-5097
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2016-01-19
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Provider Licenses
StateLicense IDTaxonomies
PAMT202506207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine