Provider Demographics
NPI:1689688681
Name:CAZACU, ANDREEA C (MD)
Entity Type:Individual
Prefix:
First Name:ANDREEA
Middle Name:C
Last Name:CAZACU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREEA
Other - Middle Name:CHRISTINA
Other - Last Name:CAZACU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1919 S BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-5420
Practice Address - Country:US
Practice Address - Phone:781-431-5200
Practice Address - Fax:781-431-5298
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225311208000000X, 2080P0208X
TXL56982080P0208X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA39348Medicare ID - Type Unspecified
MAI45000Medicare UPIN