Provider Demographics
NPI:1265450225
Name:ROMANELLO, PETER CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:CHRISTOPHER
Last Name:ROMANELLO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LOUDON RD STE 401A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5345
Mailing Address - Country:US
Mailing Address - Phone:603-227-6327
Mailing Address - Fax:603-715-1818
Practice Address - Street 1:6 LOUDON RD STE 401A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5345
Practice Address - Country:US
Practice Address - Phone:603-227-6327
Practice Address - Fax:603-715-1818
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH311-0188A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHT52087Medicare UPIN
NHNT004402Medicare PIN