Individual
MARINA RUXANDRA IONITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 SAYBROOK RD, MIDDLETOWN, CT 06457-4700
(860) 344-1801
(860) 358-8657
Mailing address
28 CRESCENT ST, SUITE #A101, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042617
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
042617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001426172
—
CT
01
—
05100016910
QUALCHOICE
AR
05
—
209688501
—
TX
05
—
209688502
—
TX
05
—
209688503
—
TX
01
—
5N366
BCBS
AR
01
—
P00355193
RAILROAD MEDICARE1
AR
Enumeration date
09/15/2005
Last updated
04/11/2017
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