Organization
EDWIN CRUZ MD & CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN CRUZ MD (PHYSICIAN/PRESIDENT)
(757) 460-7447
Entity
Organization
Contact information
Practice address
1712 STONE CHURCH MEWS, VIRGINIA BEACH, VA 23455-4374
(757) 460-7447
Mailing address
1712 STONE CHURCH MEWS, VIRGINIA BEACH, VA 23455-4374
(757) 460-7447
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101221356
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101221356
VIRGINIA LICENSE
—
05
—
5828571
—
VA
Enumeration date
10/05/2009
Last updated
12/21/2009
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