Provider Demographics
NPI:1780625418
Name:STANESCU, IOANA CRISTIANA (MD)
Entity type:Individual
Prefix:
First Name:IOANA
Middle Name:CRISTIANA
Last Name:STANESCU
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 1:195 EASTERN BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4353
Mailing Address - Country:US
Mailing Address - Phone:860-456-9900
Mailing Address - Fax:
Practice Address - Street 1:195 EASTERN BLVD STE 201
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4353
Practice Address - Country:US
Practice Address - Phone:860-246-4260
Practice Address - Fax:860-221-3739
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259718-1207RR0500X
CT036670207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000036476OtherBMC HEALTHNET
MA2133571Medicaid
8105718OtherCIGNA
MAJ40898OtherBCBSMA
MAAA83370OtherHARVARD PILGRIM HEALTH PLAN
NY10119763OtherCDPHP
660003202OtherRAILROAD MEDICARE
MA426498OtherTUFTS HEALTH PLAN
MA39495OtherHEALTH NEW ENGLAND
NY397615OtherMVP
7842186OtherAETNA
NY397615OtherMVP