Antonescu, Corneliu

Antonescu, Corneliu is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Antonescu, Corneliu can be contacted via phone (907) 459-3520.

Contact Information

Primary practice address
1001 Noble St Fairbanks AK 99701-4922
Fax: (907) 459-3554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4948 Alaska

Profile Details

NPI number 1356316863
LBN Legal business name Antonescu, Corneliu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356316863 NPPES
Alaska MEDICAID MD9654

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