Healthcare Provider Details

I. General information

NPI: 1295856953
Provider Name (Legal Business Name): RUXANDRA BALESCU DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S MAIN ST STE 3N
LAMBERTVILLE NJ
08530-1800
US

IV. Provider business mailing address

60 BROOKSTONE DR
PRINCETON NJ
08540-2435
US

V. Phone/Fax

Practice location:
  • Phone: 609-460-4574
  • Fax: 609-483-2397
Mailing address:
  • Phone: 732-277-2763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDI22278
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: