Provider Demographics
NPI:1083456370
Name:ROMANIA, CHRISTINE DOROTHY (ELECTROLOGIST)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:DOROTHY
Last Name:ROMANIA
Suffix:
Gender:F
Credentials:ELECTROLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-3139
Mailing Address - Country:US
Mailing Address - Phone:781-724-8409
Mailing Address - Fax:
Practice Address - Street 1:20 POND PARK RD STE 105
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4326
Practice Address - Country:US
Practice Address - Phone:781-908-4502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1810247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other