Provider Demographics
NPI:1366582280
Name:ROMANOW, GENA LOWEN (MD)
Entity type:Individual
Prefix:DR
First Name:GENA
Middle Name:LOWEN
Last Name:ROMANOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GENA
Other - Middle Name:RUSSI
Other - Last Name:LOWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7226 LEE DEFOREST DR STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3239
Mailing Address - Country:US
Mailing Address - Phone:410-730-6911
Mailing Address - Fax:410-730-1599
Practice Address - Street 1:7226 LEE DEFOREST DR STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3239
Practice Address - Country:US
Practice Address - Phone:410-730-6911
Practice Address - Fax:410-730-1599
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00630742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology