Healthcare Provider Details

I. General information

NPI: 1386209815
Provider Name (Legal Business Name): ADELINA ROXANA BUGANU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1590
US

IV. Provider business mailing address

2 STANLEY DR
CATONSVILLE MD
21228-5045
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-9800
  • Fax:
Mailing address:
  • Phone: 240-447-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD479926
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0099660
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberD0099660
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: