Provider Demographics
NPI:1942241666
Name:ROMERO, GLORIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:S
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:ANTONIA
Other - Last Name:SEIJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:310 RODI RD
Practice Address - Street 2:STE 140
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3318
Practice Address - Country:US
Practice Address - Phone:412-371-6414
Practice Address - Fax:412-371-9739
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046197L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
101912OtherUPMC HEALTH PLAN
P000903OtherGATEWAY HEALTH PLAN
190919OtherBLUE SHIELD
PA001438130Medicaid
370006740OtherRAILROAD MEDICARE
4520547OtherAETNA
G18226Medicare UPIN
101912OtherUPMC HEALTH PLAN
P000903OtherGATEWAY HEALTH PLAN