Individual
GUSTAVO CRUZ GINIEBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1015 SAINT JOHN ST, MANVILLE, NJ 08835-1148
(551) 300-4947
Mailing address
1015 SAINT JOHN ST, MANVILLE, NJ 08835-1148
(551) 300-4947
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
26NJ15314100
NJ
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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