Provider Demographics
NPI:1538136114
Name:STOIAN, ALEXANDRU A (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRU
Middle Name:A
Last Name:STOIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5080
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-5080
Mailing Address - Country:US
Mailing Address - Phone:315-265-3072
Mailing Address - Fax:315-265-0878
Practice Address - Street 1:50 LEROY ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1786
Practice Address - Country:US
Practice Address - Phone:315-261-5920
Practice Address - Fax:315-265-0878
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161770207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01019429Medicaid
NY01019429Medicaid
NYAA1084Medicare ID - Type UnspecifiedMEDICARE ID #