Healthcare Provider Details

I. General information

NPI: 1255376307
Provider Name (Legal Business Name): HEALTHMARK FOOT AND ANKLE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MONROE ST
MEDIA PA
19063-3037
US

IV. Provider business mailing address

101 N MONROE ST
MEDIA PA
19063-3037
US

V. Phone/Fax

Practice location:
  • Phone: 610-565-3668
  • Fax: 610-565-9722
Mailing address:
  • Phone: 610-565-3668
  • Fax: 610-565-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS M ROMANSKY
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 610-565-3668