Provider Demographics
NPI:1538908520
Name:LUCIAN RADU MD PLLC
Entity type:Organization
Organization Name:LUCIAN RADU MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RADU-RADULESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-200-7101
Mailing Address - Street 1:10 ANITA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8302
Mailing Address - Country:US
Mailing Address - Phone:413-200-7101
Mailing Address - Fax:
Practice Address - Street 1:10 ANITA DR
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8302
Practice Address - Country:US
Practice Address - Phone:413-200-7101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty