Provider Demographics
NPI:1619112539
Name:ZAMFIRESCU, GEORGETA (RPSGT)
Entity Type:Individual
Prefix:MRS
First Name:GEORGETA
Middle Name:
Last Name:ZAMFIRESCU
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5828 ARGYLE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2131
Mailing Address - Country:US
Mailing Address - Phone:313-443-8397
Mailing Address - Fax:
Practice Address - Street 1:28295 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4300
Practice Address - Country:US
Practice Address - Phone:586-558-9226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11430247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other