Provider Demographics
NPI:1841685021
Name:STOICA, ANDREI (LAC)
Entity type:Individual
Prefix:
First Name:ANDREI
Middle Name:
Last Name:STOICA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 CONNECTICUT AVE NW
Mailing Address - Street 2:3D FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1054
Mailing Address - Country:US
Mailing Address - Phone:202-297-7404
Mailing Address - Fax:202-478-2633
Practice Address - Street 1:1645 CONNECTICUT AVE NW
Practice Address - Street 2:3D FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1054
Practice Address - Country:US
Practice Address - Phone:202-297-7404
Practice Address - Fax:202-478-2633
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500216171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist