Basic Information
Provider Information
NPI: 1659675080
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IONESCU
FirstName: ALIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14682 SEASONS DR
Address2:  
City: CENTREVILLE
State: VA
PostalCode: 201206009
CountryCode: US
TelephoneNumber: 9143570532
FaxNumber:  
Practice Location
Address1: 10810 CONNECTICUT AVE
Address2:  
City: KENSINGTON
State: MD
PostalCode: 208952138
CountryCode: US
TelephoneNumber: 3019297100
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/28/2010
LastUpdateDate: 06/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XME118890FLN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VG0400XME118890FLN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207V00000XA139307CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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