Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 274764 | MA |
Y | 111NI0900X | Internist | 274764 | MA |
N | 207RG0100X | Gastroenterologist | E-9155 | AR |
NPI | 1013330919 |
---|---|
Provider Name | Luis Alberto Quiel Cojocaru |
First Address | North Andover, MA 01845-2637 |
Second Address | Newburyport, MA 01950-3867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2014 |
Last Update Date | 24/04/2019 |