Provider Demographics
NPI:1396952024
Name:IONESCU, SIMINA CLARA (MD)
Entity type:Individual
Prefix:DR
First Name:SIMINA CLARA
Middle Name:
Last Name:IONESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:67 MASONIC AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-3095
Mailing Address - Country:US
Mailing Address - Phone:203-679-6370
Mailing Address - Fax:203-265-7413
Practice Address - Street 1:1 CELLINI PL STE 102
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-1666
Practice Address - Country:US
Practice Address - Phone:203-932-6481
Practice Address - Fax:203-889-4953
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT045341207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110010460Medicare PIN