Basic Information
| Provider Information | |||||||||
| NPI: | 1366565707 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | L. IOANA CHIRIEAC, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 RUSTIC ST | ||||||||
| Address2: | |||||||||
| City: | NEWTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024581024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174557192 | ||||||||
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| Practice Location | |||||||||
| Address1: | 227 BABCOCK ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLINE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024466773 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177313200 | ||||||||
| FaxNumber: | 6172775322 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CHIRIEAC | ||||||||
| AuthorizedOfficialFirstName: | LIANA | ||||||||
| AuthorizedOfficialMiddleName: | IOANA | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6174557192 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 223421 | MA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.