Individual
CORNELIU MIRCEA ILEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 ROCK ROW STE 120, WESTBROOK, ME 04092-4877
(207) 303-3300
(207) 250-2139
Mailing address
PO BOX 911, BRATTLEBORO, VT 05302-0911
(207) 303-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1619
NH
363A00000X
Physician Assistant
Primary
PA2418
ME
Other
Enumeration date
08/15/2019
Last updated
04/20/2026
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