Provider Demographics
NPI:1871755348
Name:NEACSU, OTILIA (MD)
Entity type:Individual
Prefix:
First Name:OTILIA
Middle Name:
Last Name:NEACSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OTILIA
Other - Middle Name:
Other - Last Name:BALINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8280 WILLOW OAKS CORPORATE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:571-472-4300
Mailing Address - Fax:703-970-6599
Practice Address - Street 1:8280 WILLOW OAKS CORPORATE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:571-472-4300
Practice Address - Fax:703-970-6599
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012501292080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology