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Bruce
W
Romeo
MD
Contract Details
Brookwood Medical Center
Facility name
Provider ID
P000001493
NPI
1992717870
Tax ID
630574010
Effective Date
4/24/2002
Last Updated
9/22/2014
Direct Contract
Yes
Term Date
3/17/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_058
AM_058
Location Details
Address
2018 Brookwood Medical Center Drive Suite G-2
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058772667
(
Phone
)
Billing Details
Address
2018 Brookwood Medical Center Drive
Suite G-2
Birmingham, AL 35209
Billing Phone
2058772667
Specialty Type
Internal Medicine
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Address