Healthcare Provider Details

I. General information

NPI: 1386643807
Provider Name (Legal Business Name): MONICA M MUNTEANU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 BOSTON POST RD STE 100
GUILFORD CT
06437-4335
US

IV. Provider business mailing address

1591 BOSTON POST RD STE 100
GUILFORD CT
06437-4335
US

V. Phone/Fax

Practice location:
  • Phone: 475-900-9800
  • Fax: 203-932-4051
Mailing address:
  • Phone: 475-900-9800
  • Fax: 203-932-4051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number040066
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: