Provider Demographics
NPI:1780698860
Name:CULCEA, CRISTINA M (MD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:M
Last Name:CULCEA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:260 NEW LUDLOW RD
Mailing Address - Street 2:WESTERN MASS PHYSICIAN ASSOCIATES, INC.
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-4324
Mailing Address - Country:US
Mailing Address - Phone:413-534-2800
Mailing Address - Fax:413-534-2801
Practice Address - Street 1:18 HOSPITAL DR
Practice Address - Street 2:WESTERN MASS PEDIATRICS
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-6604
Practice Address - Country:US
Practice Address - Phone:413-534-2800
Practice Address - Fax:413-534-2801
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2013-05-01
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Provider Licenses
StateLicense IDTaxonomies
WY7045A208000000X
NH13313208000000X
MA253200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110094266AMedicaid