Provider Demographics
NPI:1649400656
Name:BALTEANU, CORNELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CORNELIA
Middle Name:
Last Name:BALTEANU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 DEARBORN RD
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4235
Mailing Address - Country:US
Mailing Address - Phone:201-224-0223
Mailing Address - Fax:201-224-0223
Practice Address - Street 1:1056 DEARBORN RD
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4235
Practice Address - Country:US
Practice Address - Phone:201-224-0223
Practice Address - Fax:201-224-0223
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA027982002080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology