Provider Demographics
NPI:1932534567
Name:ROMANO-SILVA, SUSAN L (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:L
Last Name:ROMANO-SILVA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 THE FELLSWAY
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2353
Mailing Address - Country:US
Mailing Address - Phone:908-656-1404
Mailing Address - Fax:
Practice Address - Street 1:129 THE FELLSWAY
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-2353
Practice Address - Country:US
Practice Address - Phone:908-656-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00166100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist