Provider Demographics
NPI:1205927787
Name:GRIGORESCU, TRAIAN ANDREI (MD)
Entity type:Individual
Prefix:
First Name:TRAIAN
Middle Name:ANDREI
Last Name:GRIGORESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4243
Mailing Address - Country:US
Mailing Address - Phone:201-363-8908
Mailing Address - Fax:
Practice Address - Street 1:3 WINSLOW PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2709
Practice Address - Country:US
Practice Address - Phone:201-843-9390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06154700207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology