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Individual
DR. JOHN NORBERT CRUZ
Active
Individual
DR. JOHN NORBERT CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
174490-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01105513
—
NY
01
—
328134
MVP
NY
01
—
9709654
GHI
NY
01
—
DD1336
MEDICARE ID UNSPECIFIED
NY
Enumeration date
09/19/2006
Last updated
01/07/2010
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