Provider Demographics
NPI:1104282227
Name:ROMANIELLO, GABRIELLA DIANE (MS)
Entity type:Individual
Prefix:MISS
First Name:GABRIELLA
Middle Name:DIANE
Last Name:ROMANIELLO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5715
Mailing Address - Country:US
Mailing Address - Phone:301-270-4200
Mailing Address - Fax:
Practice Address - Street 1:7525 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5715
Practice Address - Country:US
Practice Address - Phone:301-270-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program