Healthcare Provider Details

I. General information

NPI: 1932632361
Provider Name (Legal Business Name): MIRUNA CARNARU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 GOOSE LN STE 203B
GUILFORD CT
06437-2492
US

IV. Provider business mailing address

350 GOOSE LN STE 203B
GUILFORD CT
06437-2492
US

V. Phone/Fax

Practice location:
  • Phone: 203-713-5500
  • Fax: 203-868-0058
Mailing address:
  • Phone: 203-713-5500
  • Fax: 203-868-0058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number68099
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: