Healthcare Provider Details

I. General information

NPI: 1689820136
Provider Name (Legal Business Name): LUMINITA MARINESCU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 LOCUST ST
NORTHAMPTON MA
01060-2052
US

IV. Provider business mailing address

291 MOODY ST
LUDLOW MA
01056-1246
US

V. Phone/Fax

Practice location:
  • Phone: 413-582-2175
  • Fax: 413-582-2964
Mailing address:
  • Phone: 866-688-6663
  • Fax: 413-589-7554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number003214
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: