Basic Information
| Provider Information | |||||||||
| NPI: | 1780625418 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STANESCU | ||||||||
| FirstName: | IOANA | ||||||||
| MiddleName: | CRISTIANA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 195 EASTERN BLVD | ||||||||
| Address2: | STE 201 | ||||||||
| City: | GLASTONBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060334353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604569900 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 195 EASTERN BLVD STE 201 | ||||||||
| Address2: | |||||||||
| City: | GLASTONBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060334353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602464260 | ||||||||
| FaxNumber: | 8602213739 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2006 | ||||||||
| LastUpdateDate: | 08/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 259718-1 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | 036670 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 000000036476 | 01 | MA | BMC HEALTHNET | OTHER | 2133571 | 05 | MA | MEDICAID | 8105718 | 01 | CIGNA | OTHER | J40898 | 01 | MA | BCBSMA | OTHER | AA83370 | 01 | MA | HARVARD PILGRIM HEALTH PLAN | OTHER | 10119763 | 01 | NY | CDPHP | OTHER | 660003202 | 01 | RAILROAD MEDICARE | OTHER | 426498 | 01 | MA | TUFTS HEALTH PLAN | OTHER | 39495 | 01 | MA | HEALTH NEW ENGLAND | OTHER | 397615 | 01 | NY | MVP | OTHER | 7842186 | 01 | AETNA | OTHER |