Provider Demographics
NPI:1609889419
Name:ROMANELLO, JOSEPH MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:ROMANELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17 WELLS ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2923
Mailing Address - Country:US
Mailing Address - Phone:401-596-3313
Mailing Address - Fax:401-596-2650
Practice Address - Street 1:17 WELLS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2923
Practice Address - Country:US
Practice Address - Phone:401-596-3313
Practice Address - Fax:401-596-2650
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD12158207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology