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Jack W Romano, PA
Surgical Physician Assistant in Kirkland, Washington
NPI 1114059987

Jack W Romano is a Surgical Physician Assistant based in Kirkland, WA and is specialized in Surgical. Jack W Romano practices in Kirkland, WA and has the professional credentials of PA. The NPI Number for Jack W Romano is 1114059987 and holds a License No. PA10002119 (Washington).

The current practice location address for Jack W Romano is 9701 Ne 120Th Pl, Kirkland, WA and can be reached out via phone at 206-909-2601.

Location: 9701 Ne 120Th Pl, Kirkland, WA, 98034-4275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114059987
Provider Name
Jack W Romano
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9701 Ne 120Th Pl, Kirkland, WA, 98034-4275
Phone Number
206-909-2601
Fax Number
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8864515 01 WA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
9701 Ne 120Th Pl
City
Kirkland
State
Washington
Zip
98034-4275
Phone Number
206-909-2601
Fax Number
person
Provider Business Mailing Address Details
Address
9701 Ne 120Th Pl
City
Kirkland
State
Washington
Zip
98034-4275
Phone Number
206-909-2601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA10002119 (Washington)
Definition
Definition to come...
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