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NPI Code Detail

MEDICARE: DR. CRISTIAN MARIUS VASILESCU I M.D.

MEDICARE: DR. CRISTIAN MARIUS VASILESCU I M.D.
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
1207Q00000XFamily Medicine PhysicianME99875FL
2208D00000XGeneral Practice PhysicianME99875FL
3207Q00000XFamily Medicine PhysicianP5245TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1285840YNJCOTHERTXMEDICARE
2285840YKP1OTHERTXMEDICARE

General Provider Information

NPI Number : 1821290982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRISTIAN MARIUS VASILESCU I M.D.
Provider Business Mailing Address
First Line : 9202 ELAM RD
Second Line :
City : DALLAS
State : TX
Zip : 75217-4151
Country : US
Telephone Number : 214-266-1706
Fax Number :
Provider Business Practice Location Address
First Line : 1509 MAIN ST APT 502
Second Line :
City : DALLAS
State : TX
Zip : 75201-4808
Country : US
Telephone Number : 469-713-7487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 04/14/2020

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