Organization
WINDHAM RHEUMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IOANA C STANESCU M.D. (SOLE MEMBER)
(860) 456-6105
Entity
Organization
Contact information
Practice address
10 HIGGINS HWY, SUITE 14, MANSFIELD CENTER, CT 06250-1437
(860) 456-6105
Mailing address
10 HIGGINS HWY, SUITE 14, MANSFIELD CENTER, CT 06250-1437
(860) 456-6105
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
36670
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780625418
INDIVIDUAL NPI
CT
Enumeration date
09/28/2011
Last updated
09/28/2011
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