Provider Demographics
NPI:1487281622
Name:PETER C ROMANELLO DC PLLC
Entity type:Organization
Organization Name:PETER C ROMANELLO DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROMANELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-227-6327
Mailing Address - Street 1:6 LOUDON RD STE 401A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5345
Mailing Address - Country:US
Mailing Address - Phone:603-227-6327
Mailing Address - Fax:603-715-1818
Practice Address - Street 1:6 LOUDON RD STE 401A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5345
Practice Address - Country:US
Practice Address - Phone:603-227-6327
Practice Address - Fax:603-715-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty