Individual
ROMANA PRIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
(860) 443-8720
Mailing address
58 TWIN LAKES DR, WATERFORD, CT 06385-4112
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
030452
CT
208000000X
Pediatrics Physician
030452
CT
Other
Enumeration date
06/23/2005
Last updated
03/19/2009
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