Provider Demographics
NPI:1043363179
Name:CHERCIU, DOINA M (MD)
Entity type:Individual
Prefix:DR
First Name:DOINA
Middle Name:M
Last Name:CHERCIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 THOREAU DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4666
Mailing Address - Country:US
Mailing Address - Phone:732-761-0221
Mailing Address - Fax:732-780-1886
Practice Address - Street 1:16 THOREAU DR
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4666
Practice Address - Country:US
Practice Address - Phone:732-761-0221
Practice Address - Fax:732-780-1886
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06235900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ799776PKXMedicare ID - Type Unspecified