Provider Demographics
NPI:1578883237
Name:ROMANOWSKY, ANDREW M (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:ROMANOWSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:33 BARTLETT ST STE 206
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 206
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:2010-06-04
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA258839207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME003259002Medicare PIN
ME003259001Medicare PIN