Basic Information
| Provider Information | |||||||||
| NPI: | 1396799045 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROMITI | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4044 ROUTE 130 | ||||||||
| Address2: | |||||||||
| City: | IRWIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156427808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245276651 | ||||||||
| FaxNumber: | 7245270957 | ||||||||
| Practice Location | |||||||||
| Address1: | 4044 ROUTE 130 | ||||||||
| Address2: | |||||||||
| City: | IRWIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156427808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245276651 | ||||||||
| FaxNumber: | 7245270957 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2006 | ||||||||
| LastUpdateDate: | 10/02/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0004X | MD426606 | PA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services | 207Q00000X | MD4266-6 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.