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NPI Code Detail

MEDICARE: DR. RADU I PACURARIU MD

MEDICARE:  DR. RADU I PACURARIU  MD
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
1207W00000XOphthalmology PhysicianMD035657LPA

General Provider Information

NPI Number : 1457314833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RADU I PACURARIU MD
Provider Business Mailing Address
First Line : 920 WYOMING AVE
Second Line : STE # 201
City : FORTY FORT
State : PA
Zip : 18704-3953
Country : US
Telephone Number : 570-288-6115
Fax Number : 570-288-4941
Provider Business Practice Location Address
First Line : 920 WYOMING AVE
Second Line : STE # 201
City : FORTY FORT
State : PA
Zip : 18704-3953
Country : US
Telephone Number : 570-288-6115
Fax Number : 570-288-4941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RADU I PACURARIU MD” Practice Location

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