Provider Demographics
NPI:1346289238
Name:ANTONESCU, DOINA (MD)
Entity Type:Individual
Prefix:DR
First Name:DOINA
Middle Name:
Last Name:ANTONESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3135 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1179
Mailing Address - Country:US
Mailing Address - Phone:724-654-4118
Mailing Address - Fax:724-657-2669
Practice Address - Street 1:3135 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1179
Practice Address - Country:US
Practice Address - Phone:724-654-4118
Practice Address - Fax:724-657-2669
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD061010L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG44913Medicare UPIN