Basic Information
Provider Information
NPI: 1558459511
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POPESCU
FirstName: ANCA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 151 FRIES MILL RD STE 102
Address2:  
City: TURNERSVILLE
State: NJ
PostalCode: 080122056
CountryCode: US
TelephoneNumber: 8563526660
FaxNumber:  
Practice Location
Address1: 435 HURFFVILLE CROSS KEYS RD
Address2:  
City: TURNERSVILLE
State: NJ
PostalCode: 080122453
CountryCode: US
TelephoneNumber: 8562185634
FaxNumber: 8562185664
Other Information
ProviderEnumerationDate: 10/11/2006
LastUpdateDate: 02/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XMA07965500NJY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

ID Information
IDTypeStateIssuerDescription
112189001 AETNAOTHER
232483101 UNITED HEALTHCAREOTHER
P0028964201 RR MEDICAREOTHER
P366358301 OXFORDOTHER
000918105NJ MEDICAID
112189401 AETNAOTHER
272829300001 AMERIHEALTH, KEYSTONE, IBCOTHER
6002199101 HORIZON NJ HEALTHOTHER
01000777801 AMERICHOICEOTHER
811396701 CIGNAOTHER
3K614401 HEALTHNETOTHER
4207201 UNIVERSITY HEALTHPLANOTHER


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