Provider Demographics
NPI:1144451584
Name:ROMANOSKI, TIMOTHY CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:CRAIG
Last Name:ROMANOSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:116 DEFENSE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7045
Mailing Address - Country:US
Mailing Address - Phone:443-203-8145
Mailing Address - Fax:443-458-0650
Practice Address - Street 1:116 DEFENSE HWY STE 200
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7045
Practice Address - Country:US
Practice Address - Phone:443-203-8145
Practice Address - Fax:443-458-0650
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD79865207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine