Healthcare Provider Details

I. General information

NPI: 1720198096
Provider Name (Legal Business Name): ADRIAN CLAUDIU BALICA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 OVERLOOK RD STE 409
SUMMIT NJ
07901-3564
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-2802
  • Fax: 908-522-2806
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA07406700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: