MEDICARE: GRIGORIU, LLC

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	207RP1001X	Pulmonary Disease Physician	MA43774	NJ

General Provider Information

NPI Number	:	1003033127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRIGORIU, LLC

Provider Business Mailing Address
First Line	:	184 S LIVINGSTON AVE
Second Line	:	SUITE 9 343
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-3014
Country	:	US
Telephone Number	:	201-918-2239
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 JERSEY AVE
Second Line	:	SUITE 470
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4325
Country	:	US
Telephone Number	:	201-918-2239
Fax Number	:	201-918-2243

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	ADRIANA GRIGORIU
Credential	:	M.D.
Telephone Number	:	201-918-2239

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/01/2010

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