Provider Demographics
NPI:1922038603
Name:REPICCI AND ROMANOWSKI MD LLC
Entity Type:Organization
Organization Name:REPICCI AND ROMANOWSKI MD LLC
Other - Org Name:JOINT RECONSTRUCTION ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:REPICCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-839-0632
Mailing Address - Street 1:4510 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3800
Mailing Address - Country:US
Mailing Address - Phone:716-839-0632
Mailing Address - Fax:716-839-2012
Practice Address - Street 1:4510 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226-3800
Practice Address - Country:US
Practice Address - Phone:716-839-0632
Practice Address - Fax:716-839-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty