Provider Demographics
NPI:1407853153
Name:ROMANIA, ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:ROMANIA
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 1:82 PLAZA CT
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4223
Mailing Address - Country:US
Mailing Address - Phone:860-629-0900
Mailing Address - Fax:860-629-0912
Practice Address - Street 1:82 PLAZA CT
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4223
Practice Address - Country:US
Practice Address - Phone:860-629-0900
Practice Address - Fax:860-629-0912
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038208207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010038208CT01OtherBCBS
CT0V6916OtherHEALTHNET
E66609Medicare UPIN
CT010038208CT01OtherBCBS