Individual
MR. MARK JOHN ROMANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CRNP, BC
Contact information
Practice address
2701 HOLME AVE, SUITE 206, PHILADELPHIA, PA 19152-2029
(215) 335-2700
(215) 338-7805
Mailing address
2701 HOLME AVE, SUITE 206, PHILADELPHIA, PA 19152-2029
(215) 335-2700
(215) 338-7805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007177
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872661
—
PA
Enumeration date
07/21/2005
Last updated
07/30/2010
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