Healthcare Provider Details

I. General information

NPI: 1457055337
Provider Name (Legal Business Name): ADELA-GEORGIANA BUCIUC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date: 11/01/2023
Reactivation Date: 11/06/2023

III. Provider practice location address

300 GEORGE ST STE 901
NEW HAVEN CT
06511-6662
US

IV. Provider business mailing address

MAGHERU 20 APARTMENT 07, 4TH FLOOR
BUCHAREST ROMANIA
010334
RO

V. Phone/Fax

Practice location:
  • Phone: 203-785-2095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: