Individual
EDWIN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
64 ROSELLA AVE, PAWTUCKET, RI 02861-4234
(760) 498-8331
Mailing address
64 ROSELLA AVE, PAWTUCKET, RI 02861-4234
(760) 498-8331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
02/03/2022
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