Provider Demographics
NPI:1285605071
Name:POPESCU, EUGENIA (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:
Last Name:POPESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EUGENA
Other - Middle Name:
Other - Last Name:POPESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:103 WESTERLY TER
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1118
Mailing Address - Country:US
Mailing Address - Phone:860-231-1301
Mailing Address - Fax:
Practice Address - Street 1:103 WESTERLY TER
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1118
Practice Address - Country:US
Practice Address - Phone:860-231-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0335882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001335886Medicaid
CT260004402Medicare ID - Type Unspecified
CT001335886Medicaid