Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME116148 | FL |
Y | 2080P0204X | Pediatric Emergency Doctor | MD467240 | PA |
NPI | 1245573633 |
---|---|
Provider Name | Andreea Stefania Marinescu |
First Address | Reading, PA 19612-3579 |
Second Address | Philadelphia, PA 19134-1011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 06/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010131000 | (05) | FL |