Provider Demographics
NPI:1730394958
Name:ROME, HOWARD DAVID (DPM)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DAVID
Last Name:ROME
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CONNECTICUT AVENUE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009
Mailing Address - Country:US
Mailing Address - Phone:202-234-1109
Mailing Address - Fax:
Practice Address - Street 1:1700 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:202-234-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2008-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCP0308213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039749OtherRR MEDICARE INDIVIDUAL #
DC210082OC2OtherOPTIMUM CHOICE
DC25420001OtherBLUE CROSS BLUE SHIELD
DC25420001OtherBLUE CROSS BLUE SHIELD
DCT30811Medicare UPIN