MEDICARE: DR. MIHAI Z. LUPOVICI 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
1	207R00000X	Internal Medicine Physician	34309	NJ
2	207RG0100X	Gastroenterology Physician	34309	NJ
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	34309	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0666967013	OTHER		CIGNA SPECIALIST
2	0107057000	OTHER		AMERIHEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1543982	OTHER		UNITED HEALTHCARE
5	516050	OTHER		AETNA HMO
6	222320221	OTHER	NJ	HORIZON BLUE CROSS BLUE SHIELD
7	0666967014	OTHER		CIGNA PRIMARY
8	4058986	OTHER		AETNA PPO
9	11100	OTHER		MASTERCARE
10	DR8706	OTHER		OXFORD

General Provider Information

NPI Number	:	1922089671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIHAI Z. LUPOVICI MD

Provider Business Mailing Address
First Line	:	254 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1402
Country	:	US
Telephone Number	:	609-448-7200
Fax Number	:	609-448-4607

Provider Business Practice Location Address
First Line	:	254 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1402
Country	:	US
Telephone Number	:	609-448-7200
Fax Number	:	609-448-4607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	07/18/2008

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