Provider Demographics
NPI:1609890953
Name:POSTOLACHE, TEODOR TUDOREL (MD)
Entity type:Individual
Prefix:
First Name:TEODOR
Middle Name:TUDOREL
Last Name:POSTOLACHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 NEES LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4541
Mailing Address - Country:US
Mailing Address - Phone:301-996-9040
Mailing Address - Fax:301-517-9227
Practice Address - Street 1:2225 NEES LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4541
Practice Address - Country:US
Practice Address - Phone:301-996-9040
Practice Address - Fax:301-517-9227
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00601892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403557700Medicaid