Provider Demographics
NPI:1053385724
Name:HARBUZARIU, CATALIN (MD)
Entity type:Individual
Prefix:
First Name:CATALIN
Middle Name:
Last Name:HARBUZARIU
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 1:1505 NORTHSIDE BLVD
Mailing Address - Street 2:STE 2400
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7623
Mailing Address - Country:US
Mailing Address - Phone:770-292-3490
Mailing Address - Fax:404-851-6283
Practice Address - Street 1:1505 NORTHSIDE BLVD
Practice Address - Street 2:STE 2400
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7623
Practice Address - Country:US
Practice Address - Phone:770-292-3490
Practice Address - Fax:404-851-6283
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48282208600000X, 2086S0129X
GA0692152086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003132573AMedicaid
GA003132573BMedicaid
GA003132573CMedicaid
GA202I776146Medicare PIN
GA003132573AMedicaid