Marisa Elise Roman, MD
Pediatrics in Cincinnati, OH. Individual provider (NPI-1).
NPI number1730717455
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1730717455
- Entity type
- Individual (NPI-1)
- Name
- Marisa Elise Roman
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2020
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 35.149995 | OH | Yes |
| 208000000X | Pediatrics | 76185 | WI |
Practice location
3333 Burnet AveCincinnati, OH 45229-3026
Phone 513-803-4829
Mailing address
3333 Burnet AveCincinnati, OH 45229-3026
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