Provider Demographics
NPI:1548312606
Name:MARINESCU, ANCA B (DACM, LAC)
Entity type:Individual
Prefix:MS
First Name:ANCA
Middle Name:B
Last Name:MARINESCU
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:322 BROAD STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-1360
Mailing Address - Country:US
Mailing Address - Phone:570-409-7990
Mailing Address - Fax:570-409-7995
Practice Address - Street 1:322 BROAD STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1360
Practice Address - Country:US
Practice Address - Phone:570-409-7990
Practice Address - Fax:570-409-7995
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003073171100000X
PAAK000987171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist