Healthcare Provider Details

I. General information

NPI: 1174887210
Provider Name (Legal Business Name): IULIA CIRCIUMARU RHEUMATOLOGY & INTERNAL MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 03/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MAPLE AVE REAR
BARRINGTON RI
02806
US

IV. Provider business mailing address

260 MAPLE AVE REAR
BARRINGTON RI
02806
US

V. Phone/Fax

Practice location:
  • Phone: 401-289-0011
  • Fax: 401-289-2736
Mailing address:
  • Phone: 401-289-0011
  • Fax: 401-289-2736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD11388
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD11388
License Number StateRI

VIII. Authorized Official

Name: IULIA GRILLO
Title or Position: MD/OWNER
Credential: MD
Phone: 401-289-0011