MEDICARE: DR. RADU TEODOR IONESCU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	0101237450	VA
2	207R00000X	Internal Medicine Physician	0101237450	VA

General Provider Information

NPI Number	:	1750354379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RADU TEODOR IONESCU MD

Provider Business Mailing Address
First Line	:	100 SENTARA CIR RM 2C
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5713
Country	:	US
Telephone Number	:	757-984-7218
Fax Number	:	757-984-7210

Provider Business Practice Location Address
First Line	:	100 SENTARA CIR RM 2C
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5713
Country	:	US
Telephone Number	:	757-984-7218
Fax Number	:	757-984-7210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	06/24/2024

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