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1134116353

NPI Code Detail

MEDICARE: DONNA MARIE ROMITO DO

MEDICARE: DONNA MARIE ROMITO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	000507	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110232883	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	040000507CT01	OTHER	CT	BLUE SHIELD
4	3341749	OTHER		AETNA
5	P2030234	OTHER		OXFORD HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	0V4878	OTHER		HEALTHNET
8	100507	OTHER		CONNECTICARE
9	180040	OTHER		PREFERRED ONE HEALTHCARE
10	CT000507	OTHER		UNITED HEALTHCARE
11	3416387	OTHER		CIGNA
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134116353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA MARIE ROMITO DO

Provider Business Mailing Address
First Line	:	79 WAWECUS ST STE 103
Second Line	:
City	:	NORWICH
State	:	CT
Zip	:	06360-2173
Country	:	US
Telephone Number	:	860-886-1862
Fax Number	:	860-886-2046

Provider Business Practice Location Address
First Line	:	79 WAWECUS ST STE 103
Second Line	:
City	:	NORWICH
State	:	CT
Zip	:	06360-2173
Country	:	US
Telephone Number	:	860-886-1862
Fax Number	:	860-886-2046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	11/03/2023

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Directions to “ DONNA MARIE ROMITO DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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