Individual provider · NPI-1

Patrick Xavier Roman, MD

Physical Medicine & Rehabilitation · Williamsport, PA

NPI number1952046989
StatusActive
Last updated in NPPESJul 29, 2026

Details

NPI
1952046989
Entity type
Individual (NPI-1)
Name
Patrick Xavier Roman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2022
Certification date
Jul 29, 2026
Last updated
Jul 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationMD494252PAYes
207RS0010X Internal Medicine, Sports MedicineMD494252PA

Practice location

700 High St
Williamsport, PA 17701-3100

Phone 570-321-2620

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

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