Basic Information
| Provider Information | |||||||||
| NPI: | 1972508687 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURCIU | ||||||||
| FirstName: | CATALIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 249 | ||||||||
| Address2: | |||||||||
| City: | YADKINVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 270550249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366794963 | ||||||||
| FaxNumber: | 3366792549 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 ROCKFORD ST | ||||||||
| Address2: | |||||||||
| City: | MOUNT AIRY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367197370 | ||||||||
| FaxNumber: | 3367864048 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2005 | ||||||||
| LastUpdateDate: | 08/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 9900783 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 12350 | 01 | NC | BCBS OF NC | OTHER | 8912350 | 05 | NC | MEDICAID | 1932725 | 01 | NC | UNITED HEALTHCARE | OTHER | 110239158 | 01 | NC | RR MEDICARE | OTHER | 92027 | 01 | NC | MEDCOST | OTHER | 111393 | 01 | NC | CIGNA | OTHER | 37950 | 01 | NC | PARTNERS MEDICARE | OTHER | 7186301 | 01 | NC | AETNA | OTHER |