Healthcare Provider Details

I. General information

NPI: 1487281622
Provider Name (Legal Business Name): PETER C ROMANELLO DC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LOUDON RD STE 401A
CONCORD NH
03301-5345
US

IV. Provider business mailing address

6 LOUDON RD STE 401A
CONCORD NH
03301-5345
US

V. Phone/Fax

Practice location:
  • Phone: 603-227-6327
  • Fax: 603-715-1818
Mailing address:
  • Phone: 603-227-6327
  • Fax: 603-715-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER C ROMANELLO
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 603-227-6327