MEDICARE: ANCA D GEORGESCU M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RI0200X	Infectious Disease Physician	25MA10306600	NJ
3	207RI0200X	Infectious Disease Physician	45851	AZ

General Provider Information

NPI Number	:	1407157506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANCA D GEORGESCU M.D.

Provider Business Mailing Address
First Line	:	355 GRAND ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4321
Country	:	US
Telephone Number	:	201-915-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-2106
Country	:	US
Telephone Number	:	201-395-7600
Fax Number	:

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

Provider Enumeration Date	:	11/06/2010
Last Update Date	:	03/06/2026

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