Provider Demographics
NPI:1558497743
Name:NICULESCU, TEODORA M (MD)
Entity Type:Individual
Prefix:
First Name:TEODORA
Middle Name:M
Last Name:NICULESCU
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:6190 GEORGETOWN BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6460
Mailing Address - Country:US
Mailing Address - Phone:410-795-9700
Mailing Address - Fax:410-795-7500
Practice Address - Street 1:6190 GEORGETOWN BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6460
Practice Address - Country:US
Practice Address - Phone:410-795-9700
Practice Address - Fax:410-795-7500
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2011-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0066780207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology