Provider Demographics
NPI:1447056395
Name:ROMUALDO DE OLIVEIRA, AIALA
Entity type:Individual
Prefix:
First Name:AIALA
Middle Name:
Last Name:ROMUALDO DE OLIVEIRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 MICKLEY RD APT A4
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-4612
Mailing Address - Country:US
Mailing Address - Phone:901-801-1374
Mailing Address - Fax:
Practice Address - Street 1:1301 MICKLEY RD APT A4
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-4612
Practice Address - Country:US
Practice Address - Phone:901-801-1374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter