Provider Demographics
NPI:1982759536
Name:ROMAN, CINDY ANN (PA)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:ANN
Last Name:ROMAN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:718 TEANECK RD
Mailing Address - Street 2:ADVANCED INTERVENTIONAL RAD. SERVICES @ HOLY NAME MED.
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-227-6210
Mailing Address - Fax:201-643-3077
Practice Address - Street 1:718 TEANECK RD.
Practice Address - Street 2:ADVANCED INTERVENTIONAL RAD. SERVICES @ HOLY NAME MED.
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-227-6210
Practice Address - Fax:201-643-3077
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2012-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY009976363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant