Provider Demographics
NPI:1750401360
Name:CELESTE ROMIG MD PC
Entity type:Organization
Organization Name:CELESTE ROMIG MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-655-1151
Mailing Address - Street 1:17 OLD KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4522
Mailing Address - Country:US
Mailing Address - Phone:203-655-1151
Mailing Address - Fax:
Practice Address - Street 1:17 OLD KINGS HWY S
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4522
Practice Address - Country:US
Practice Address - Phone:203-655-1151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022765207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty