Iliescu, Bogdan Manuel

Iliescu, Bogdan Manuel is an individual health care provider with primary practice located at 22 S Greene St Room N2E23, Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Iliescu, Bogdan Manuel can be contacted via phone (410) 328-5656.

Contact Information

Primary practice address
22 S Greene St Room N2E23 Baltimore MD 21201-1544
Phone: (410) 328-5656
Fax: (410) 328-2115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D61706 Maryland

Profile Details

NPI number 1437182466
LBN Legal business name Iliescu, Bogdan Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 31st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437182466 NPPES
Maryland MEDICAID 405055000

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