Provider Demographics
NPI:1386754471
Name:OBLEADA, MARIA CRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CRISTINA
Last Name:OBLEADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:CRISTINA
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1613 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4513
Mailing Address - Country:US
Mailing Address - Phone:609-394-9599
Mailing Address - Fax:609-394-5511
Practice Address - Street 1:1613 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4513
Practice Address - Country:US
Practice Address - Phone:609-394-9599
Practice Address - Fax:609-394-5511
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05623200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5326702Medicaid