CORNELIU MIRCEA ILEA

WESTBROOK, ME
NPI1114573151
Other NameCORNELIUS MIRCEA ILEA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA2418)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NH  1619)
Enumeration Date2019-08-15
Last Update Date2025-02-19
Business Address
CORNELIU MIRCEA ILEA
11 ROCK ROW STE 120
WESTBROOK, ME 04092-4877
Phone number: 207-303-3300
Mailing Address
CORNELIU MIRCEA ILEA
PO BOX 911
BRATTLEBORO, VT 05302-0911
Phone number: 207-303-3200