MIGUEL ANGEL ROMAN

NEW LONDON, CT
NPI1245674332
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-19
Last Update Date2013-04-19
Business Address
-- MIGUEL ANGEL ROMAN
35 UNION ST APT. 521
NEW LONDON, CT 06320-6136
Phone number: 787-247-0572
Mailing Address
-- MIGUEL ANGEL ROMAN
159 TROUT AVE
GROTON, CT 06349
Phone number: 787-247-0572