Basic Information
Provider Information
NPI: 1689820136
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARINESCU
FirstName: LUMINITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 291 MOODY ST
Address2:  
City: LUDLOW
State: MA
PostalCode: 010561246
CountryCode: US
TelephoneNumber: 8666886663
FaxNumber: 4135897554
Practice Location
Address1: 30 LOCUST ST
Address2:  
City: NORTHAMPTON
State: MA
PostalCode: 010602052
CountryCode: US
TelephoneNumber: 4135822175
FaxNumber: 4135822964
Other Information
ProviderEnumerationDate: 08/15/2008
LastUpdateDate: 11/02/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X003214NYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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