Provider Demographics
NPI:1386643807
Name:MUNTEANU, MONICA M (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:M
Last Name:MUNTEANU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 GOOSE LN STE 203B
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2492
Mailing Address - Country:US
Mailing Address - Phone:475-900-9800
Mailing Address - Fax:203-932-4051
Practice Address - Street 1:350 GOOSE LN STE 203B
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2492
Practice Address - Country:US
Practice Address - Phone:475-900-9800
Practice Address - Fax:203-932-4051
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040066207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010040066CT01OtherBLUE CROSS BLUE SHIELD
CTP2930124OtherOXFORD
CT7865524OtherAETNA
CT0Q2736OtherHEALTH NET
CT040066OtherCONNECTICARE
CTP00097585OtherRAILROAD MEDICARE
CT010040066CT01OtherBLUE CROSS BLUE SHIELD
CT0Q2736OtherHEALTH NET