Healthcare Provider Details

I. General information

NPI: 1326345638
Provider Name (Legal Business Name): CRISTINA FRENTIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W 64TH ST
CLEVELAND OH
44102-2106
US

IV. Provider business mailing address

1310 W 64TH ST
CLEVELAND OH
44102-2106
US

V. Phone/Fax

Practice location:
  • Phone: 216-577-4453
  • Fax:
Mailing address:
  • Phone: 216-577-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: