Provider Demographics
NPI:1023075769
Name:TIU, ROMEO A (MD)
Entity type:Individual
Prefix:DR
First Name:ROMEO
Middle Name:A
Last Name:TIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 UNION AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3277
Mailing Address - Country:US
Mailing Address - Phone:973-375-5500
Mailing Address - Fax:973-375-5561
Practice Address - Street 1:40 UNION AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3277
Practice Address - Country:US
Practice Address - Phone:973-375-5500
Practice Address - Fax:973-375-5561
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJMA27415207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
C55645Medicare UPIN
NJ454815Medicare ID - Type Unspecified