Organization
IRINA STAICU DO LLC
Active
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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