Provider Demographics
NPI:1386646834
Name:POPESCU, CRISTIAN L (MD)
Entity Type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:L
Last Name:POPESCU
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 1:339 W SPRING ST
Mailing Address - Street 2:STE 102
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1655
Mailing Address - Country:US
Mailing Address - Phone:814-827-9675
Mailing Address - Fax:
Practice Address - Street 1:339 W SPRING ST
Practice Address - Street 2:STE 102
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-1655
Practice Address - Country:US
Practice Address - Phone:814-827-9675
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421004207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009315900001Medicaid
PA1009315900001Medicaid
I10974Medicare UPIN