Provider Demographics
NPI:1649315052
Name:MUNTEAN, GEORGETA (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGETA
Middle Name:
Last Name:MUNTEAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GEORGETA
Other - Middle Name:
Other - Last Name:MUNTEAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2950 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5933
Mailing Address - Country:US
Mailing Address - Phone:619-296-2618
Mailing Address - Fax:619-296-2619
Practice Address - Street 1:2950 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5933
Practice Address - Country:US
Practice Address - Phone:619-296-2618
Practice Address - Fax:619-296-2619
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39319208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics