Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 043551 | CT |
N | 207L00000X | Anesthesiologist | 35.143944 | OH |
NPI | 1003885773 |
---|---|
Provider Name | Calin Gorun-Gorunescu |
First Address | Wheeling, WV 26003-2632 |
Second Address | New Haven, CT 06519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 03/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001435511 | (05) | CT |