Provider Demographics
NPI:1467554097
Name:ROMANIC, MARY R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:R
Last Name:ROMANIC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7115 GUILFORD DR STE 204
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5236
Mailing Address - Country:US
Mailing Address - Phone:301-663-6255
Mailing Address - Fax:301-663-9571
Practice Address - Street 1:7115 GUILFORD DR STE 204
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5236
Practice Address - Country:US
Practice Address - Phone:301-663-6255
Practice Address - Fax:301-663-9571
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2023-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD034339207RR0500X
SC22696207RR0500X
MDD0067471207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology