Provider Demographics
NPI:1932132479
Name:VILCU, CRISTIAN P (MD)
Entity Type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:P
Last Name:VILCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:105 AURORA ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1903
Mailing Address - Country:US
Mailing Address - Phone:410-228-9515
Mailing Address - Fax:410-228-3009
Practice Address - Street 1:503 BYRN ST
Practice Address - Street 2:STE 1
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1917
Practice Address - Country:US
Practice Address - Phone:410-221-7770
Practice Address - Fax:410-221-7863
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA87208207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE6360013OtherFEDERAL BS
MD89229501OtherCAREFIRST BS
MD412541000Medicaid
MD89229501OtherCAREFIRST BS
MDE6360013OtherFEDERAL BS