Basic Information
| Provider Information | |||||||||
| NPI: | 1174977938 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GHINCEA | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | ROBERT | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13001 E 17TH PL | ||||||||
| Address2: | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037241784 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 CEDAR ST # S425 | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037853207 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2016 | ||||||||
| LastUpdateDate: | 05/08/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.