Provider Demographics
NPI:1265745772
Name:FRUJINOIU, ANCA-MAGDALENA (MD)
Entity type:Individual
Prefix:
First Name:ANCA-MAGDALENA
Middle Name:
Last Name:FRUJINOIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANCA-MAGDALENA
Other - Middle Name:
Other - Last Name:MATEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:RUSSELL MORGAN BLDG, 3RD FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2905
Mailing Address - Country:US
Mailing Address - Phone:443-444-5600
Mailing Address - Fax:410-435-5367
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:RUSSELL MORGAN BLDG, 3RD FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:443-444-5600
Practice Address - Fax:410-435-5367
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD70265207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine