Provider Demographics
NPI:1578521761
Name:ROMANOWSKY, MARK (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ROMANOWSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:33 BARTLETT ST STE 204
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1317
Mailing Address - Country:US
Mailing Address - Phone:978-458-1293
Mailing Address - Fax:978-458-6953
Practice Address - Street 1:33 BARTLETT ST STE 204
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1317
Practice Address - Country:US
Practice Address - Phone:978-458-1293
Practice Address - Fax:978-458-6953
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-03-19
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Provider Licenses
StateLicense IDTaxonomies
MA43073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7525OtherHARVARD PILGRIM
MA0005541OtherNEIGHBORHOOD HEALTH
MA0100450OtherUNITED HEALTHCARE
MA043073OtherTUFTS HEALTH PLAN
MA20336OtherFALLON COMMUNITY HEALTH
MA2070987Medicaid
MAB26229OtherBLUE CROSS
MA0101263OtherEVERCARE
MA92423OtherAETNA
MA043073OtherTUFTS HEALTH PLAN
MA0005541OtherNEIGHBORHOOD HEALTH
MA0100450OtherUNITED HEALTHCARE