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NPI Code Detail

MEDICARE: MICHAEL P. ROMANOWSKY FAMILY MEDICINE

MEDICARE: MICHAEL P. ROMANOWSKY FAMILY MEDICINE
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
1207Q00000XFamily Medicine PhysicianNH

General Provider Information

NPI Number : 1669459418
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL P. ROMANOWSKY FAMILY MEDICINE
Provider Business Mailing Address
First Line : PO BOX 9132
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-9132
Country : US
Telephone Number : 800-927-0002
Fax Number :
Provider Business Practice Location Address
First Line : 63 RANGE RD
Second Line :
City : WINDHAM
State : NH
Zip : 03087-2098
Country : US
Telephone Number : 603-893-4119
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL ROMANOWSKY
Credential : MD
Telephone Number : 800-927-0002
Provider Enumeration Date : 12/22/2005
Last Update Date : 04/25/2008

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