Doctor Name: | DR. CORNELIA R CIUBOTARU |
NPI Number: | 1730290487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 042113 |
Business Practice Address: | 3018 Dixwell Ave Hamden, CT - 065183508 |
Business Phone Number: | 2032815910 |
Business Fax Number: | 2032813403 |
Mailing Address: | 569a Prospect St, NEW HAVEN |
State: | CT |
Postal Code: | 065112150 |
Phone Number: | 2037764732 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 042113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |