Provider Demographics
NPI:1831163039
Name:GRECU, LORETA (MD)
Entity type:Individual
Prefix:DR
First Name:LORETA
Middle Name:
Last Name:GRECU
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0988
Mailing Address - Country:US
Mailing Address - Phone:631-444-2975
Mailing Address - Fax:631-444-2907
Practice Address - Street 1:STONY BROOK ANESTHESIOLOGY, UFPC; STONY BROOK UNIV.
Practice Address - Street 2:HEALTH SCIENCE CENTER LEVEL 4, # 060
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8480
Practice Address - Country:US
Practice Address - Phone:631-444-2975
Practice Address - Fax:631-444-2907
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA205130207L00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0183199Medicaid
MA205130OtherTUFTS HEALTH PLAN
MAJ25536OtherBCBS MA
MA0183199Medicaid
MA0183199Medicaid