Provider Demographics
NPI:1699043083
Name:MUTII, IRENE N
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:N
Last Name:MUTII
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-6129
Mailing Address - Country:US
Mailing Address - Phone:302-743-7132
Mailing Address - Fax:
Practice Address - Street 1:9 LEWIS ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-6129
Practice Address - Country:US
Practice Address - Phone:302-743-7132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist