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Individual

ERIC ROMANUCCI

Active
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Individual

ERIC ROMANUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
M3076
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179549402
TX
01
8W8160
BC & BS
TX
01
P00613549
R.R. MEDICARE
TX
Enumeration date
01/11/2006
Last updated
11/06/2012
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