Provider Demographics
NPI:1467587592
Name:THOMAS, ROMINA M (MD)
Entity Type:Individual
Prefix:
First Name:ROMINA
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-1414
Mailing Address - Country:US
Mailing Address - Phone:302-858-4381
Mailing Address - Fax:302-858-4416
Practice Address - Street 1:10 N FRONT ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-1414
Practice Address - Country:US
Practice Address - Phone:302-858-4381
Practice Address - Fax:302-858-4416
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0010537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine