Provider Demographics
NPI:1881665792
Name:BOIERU, CRISTIANA M (MD)
Entity Type:Individual
Prefix:
First Name:CRISTIANA
Middle Name:M
Last Name:BOIERU
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:PO BOX 74692
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0002
Mailing Address - Country:US
Mailing Address - Phone:440-895-5021
Mailing Address - Fax:440-895-5050
Practice Address - Street 1:18099 LORAIN AVE
Practice Address - Street 2:STE 441
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111
Practice Address - Country:US
Practice Address - Phone:216-251-0595
Practice Address - Fax:216-251-4950
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053331207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0846231Medicaid
OHP00791964OtherRAILROAD MEDICARE
OH0846231Medicaid
OHP00791964OtherRAILROAD MEDICARE