Provider Demographics
NPI:1457314833
Name:PACURARIU, RADU I (MD)
Entity Type:Individual
Prefix:DR
First Name:RADU
Middle Name:I
Last Name:PACURARIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:920 WYOMING AVE
Mailing Address - Street 2:STE # 201
Mailing Address - City:FORTY FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3953
Mailing Address - Country:US
Mailing Address - Phone:570-288-6115
Mailing Address - Fax:570-288-4941
Practice Address - Street 1:920 WYOMING AVE
Practice Address - Street 2:STE # 201
Practice Address - City:FORTY FORT
Practice Address - State:PA
Practice Address - Zip Code:18704-3953
Practice Address - Country:US
Practice Address - Phone:570-288-6115
Practice Address - Fax:570-288-4941
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035657L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB36841Medicare UPIN