Individual
DR. OLIVIA ELENA COICULESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
(860) 447-2542
Mailing address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
(860) 447-2542
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
50797
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000617149
ANTHEM
KY
01
—
42396
KY STATE LICENSE
KY
01
—
50797
CT LICENSE
CT
05
—
7100107720
—
KY
Enumeration date
06/03/2008
Last updated
03/07/2023
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