Healthcare Provider Details

I. General information

NPI: 1831931781
Provider Name (Legal Business Name): ANDREEA NECULA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 11/04/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507
US

IV. Provider business mailing address

471 WILLMOTT CRES.
MILTON ONTARIO
L9T 6W7
CA

V. Phone/Fax

Practice location:
  • Phone: 757-446-6190
  • 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 StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: