Provider Demographics
NPI:1790668317
Name:ARDELJAN, LOREDANA DIANA (PHARMD)
Entity type:Individual
Prefix:
First Name:LOREDANA
Middle Name:DIANA
Last Name:ARDELJAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LOREDANA
Other - Middle Name:DIANA
Other - Last Name:BERESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:53 ACKERS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4162
Mailing Address - Country:US
Mailing Address - Phone:917-584-9842
Mailing Address - Fax:
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:617-632-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH2412801835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy