Provider Demographics
NPI:1881747913
Name:CHERCIU, MUGUREL S (MD)
Entity type:Individual
Prefix:DR
First Name:MUGUREL
Middle Name:S
Last Name:CHERCIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:91 DORCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4574
Mailing Address - Country:US
Mailing Address - Phone:732-224-7471
Mailing Address - Fax:732-224-0740
Practice Address - Street 1:91 DORCHESTER WAY
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4574
Practice Address - Country:US
Practice Address - Phone:732-224-7471
Practice Address - Fax:732-224-0740
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06228600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6811507Medicaid
NJF85768Medicare UPIN
NJ6811507Medicaid