Individual
ANTONIO P. CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1287 N MAIN ST, PROVIDENCE, RI 02904-1856
(401) 272-2724
(401) 272-2784
Mailing address
1287 N MAIN ST, PROVIDENCE, RI 02904-1856
(401) 272-2724
(401) 272-2784
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
246717
MA
207N00000X
Dermatology Physician
MD13344
RI
207ND0101X
MOHS-Micrographic Surgery Physician
246717
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD13344
RI
Other
Enumeration date
08/08/2007
Last updated
10/14/2020
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