Provider Demographics
NPI:1033151451
Name:VLADU, CRISTIAN (MD)
Entity Type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:
Last Name:VLADU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 RIVEREDGE RD
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2751
Mailing Address - Country:US
Mailing Address - Phone:732-988-3800
Mailing Address - Fax:732-988-3801
Practice Address - Street 1:43 N GILBERT ST STE 5
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-988-3800
Practice Address - Fax:732-988-3801
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08081100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0123145Medicaid
NJP00399315OtherRR MEDICARE
NJ105049TN1Medicare PIN
NJ0123145Medicaid