MEDICARE: MR. CHRISTOPHER ALEXANDER ROMANOWSKI CRNA

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	367500000X	Certified Registered Nurse Anesthetist	R078185	MD

General Provider Information

NPI Number	:	1811093263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER ALEXANDER ROMANOWSKI CRNA

Provider Business Mailing Address
First Line	:	11010 DOXBERRY CIR
Second Line	:
City	:	WOODSTOCK
State	:	MD
Zip	:	21163-1499
Country	:	US
Telephone Number	:	410-961-6774
Fax Number	:	443-325-5954

Provider Business Practice Location Address
First Line	:	11010 DOXBERRY CIR
Second Line	:
City	:	WOODSTOCK
State	:	MD
Zip	:	21163-1499
Country	:	US
Telephone Number	:	410-961-6774
Fax Number	:	443-325-5954

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	11/29/2021

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