Provider Demographics
NPI:1265523203
Name:PARVULESCU, TRAIAN (MD)
Entity type:Individual
Prefix:
First Name:TRAIAN
Middle Name:
Last Name:PARVULESCU
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 1:8 SHUNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2740
Mailing Address - Country:US
Mailing Address - Phone:973-377-6216
Mailing Address - Fax:973-829-1562
Practice Address - Street 1:8 SHUNPIKE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2740
Practice Address - Country:US
Practice Address - Phone:973-377-6216
Practice Address - Fax:973-829-1562
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA067129207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ020471Medicare ID - Type Unspecified
G81363Medicare UPIN