Organization
LUIS R. CRUZ, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R CRUZ M.D. (PRESIDENT)
(203) 624-2117
Entity
Organization
Contact information
Practice address
1552 CHAPEL ST, NEW HAVEN, CT 06511-4251
(203) 624-2117
Mailing address
1552 CHAPEL ST, NEW HAVEN, CT 06511-4251
(203) 624-2117
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
016660
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001166602
—
CT
01
—
010016660CT01
ANTHEM BC/BS
CT
Enumeration date
07/02/2010
Last updated
07/02/2010
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