Organization
IRINA STAICU DO LLC
Active
Other names
Irina Staicu DO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA STAICU (OWNER)
(215) 735-8052
Entity
Organization
Contact information
Practice address
1420 WALNUT ST STE 904, PHILADELPHIA, PA 19102-4009
(215) 735-8052
Mailing address
328 COBBLE CREEK CIR, CHERRY HILL, NJ 08003-1839
(856) 580-3368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265846034
NPI
—
01
—
OS018048
PA STATE LICENSE
PA
Enumeration date
06/12/2019
Last updated
03/07/2023
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