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Individual

DR. CESAR ISAAC CRUZ AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 TOWNE LAKE PKWY, STE 400, WOODSTOCK, GA 30189-1602
(770) 924-5095
(770) 924-7429
Mailing address
900 TOWNE LAKE PKWY, STE 400, WOODSTOCK, GA 30189-1602
(770) 924-5095
(770) 924-7429

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
67550
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
67550
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003137201D
GA
05
003137201E
GA
05
003148597A
GA
Enumeration date
01/22/2008
Last updated
10/28/2020
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