Provider Demographics
NPI:1679521033
Name:ROMEO, JOSEPH PATRICK SR (MD)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:ROMEO
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1801 COLORADO AVENUE
Mailing Address - Street 2:STE 160
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382
Mailing Address - Country:US
Mailing Address - Phone:209-216-3300
Mailing Address - Fax:209-216-3301
Practice Address - Street 1:1801 COLORADO AVENUE
Practice Address - Street 2:STE 160
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382
Practice Address - Country:US
Practice Address - Phone:209-216-3300
Practice Address - Fax:209-216-3301
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2012-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA00G806610207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G806610Medicare ID - Type Unspecified
F31342Medicare UPIN