Provider Demographics
NPI:1366494908
Name:ROMANELLO, MARCUS GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:GREGORY
Last Name:ROMANELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LAY DAM RD
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-2306
Mailing Address - Country:US
Mailing Address - Phone:205-755-2500
Mailing Address - Fax:205-280-3569
Practice Address - Street 1:1010 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2306
Practice Address - Country:US
Practice Address - Phone:205-755-2500
Practice Address - Fax:205-280-3569
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.090166207P00000X
AL00026492207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine