Provider Demographics
NPI:1922778406
Name:CONSTANTINESCU, CRISTIAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CRISTIAN
Middle Name:
Last Name:CONSTANTINESCU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:CRIS
Other - Middle Name:
Other - Last Name:CONSTANTINESCU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:427 S CAMAC ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1140
Mailing Address - Country:US
Mailing Address - Phone:215-552-0183
Mailing Address - Fax:
Practice Address - Street 1:1 FEDERAL ST STE 200
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1088
Practice Address - Country:US
Practice Address - Phone:856-356-4924
Practice Address - Fax:856-356-4793
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA109306002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty