Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 50105 | CT |
N | 207Q00000X | Family Doctor | MD440448 | PA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD440448 | PA |
NPI | 1144429465 |
---|---|
Provider Name | Mrs. Simona Florina Constantinescu |
First Address | Harrisburg, PA 17104-1677 |
Second Address | Hartford, CT 06102-8000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 05/03/2019 |