Individual
MR. ADAM ROMANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA-C
Contact information
Practice address
260 LONG RIDGE RD, STAMFORD, CT 06902
(475) 240-5762
Mailing address
260 LONG RIDGE RD, STAMFORD, CT 06902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015143
NY
363A00000X
Physician Assistant
Primary
3477
CT
363AM0700X
Medical Physician Assistant
015143
NY
363AS0400X
Surgical Physician Assistant
015143
NY
Other
Enumeration date
10/14/2011
Last updated
07/02/2018
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