Provider Demographics
NPI:1861655466
Name:BARBU, ANTONELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONELA
Middle Name:
Last Name:BARBU
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 1:2238 BLACK ROCK TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-3219
Mailing Address - Country:US
Mailing Address - Phone:203-366-3869
Mailing Address - Fax:203-384-0260
Practice Address - Street 1:2238 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-3219
Practice Address - Country:US
Practice Address - Phone:203-366-3869
Practice Address - Fax:203-384-0260
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT50358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine