MEDICARE: DR. ROMIE NELSON MUNDY II M.D.

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	208C00000X	Colon & Rectal Surgery Physician	260899	MA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208600000X	Surgery Physician	260899	MA

General Provider Information

NPI Number	:	1407098593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMIE NELSON MUNDY II M.D.

Provider Business Mailing Address
First Line	:	62 BROWN ST STE 303
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6790
Country	:	US
Telephone Number	:	978-682-2310
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 BROWN ST
Second Line	:	SUITE 303
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6778
Country	:	US
Telephone Number	:	978-682-2310
Fax Number	:

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

Provider Enumeration Date	:	04/03/2009
Last Update Date	:	03/12/2026

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