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Individual

MICHAEL D. ROMAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
79 SCHOONER STREET, DAMARISCOTTA, ME 04543-4047
(207) 563-4777
(207) 563-4738
Mailing address
79 SCHOONER STREET, DAMARISCOTTA, ME 04543-4047
(207) 563-4777
(207) 563-4738

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189731-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01374818
NY
05
1003889
VT
Enumeration date
04/25/2006
Last updated
10/13/2015
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