Organization
GENERAL CLINICA SOUTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN DELACRUZ MD (DIRECTOR)
(201) 543-1668
Entity
Organization
Contact information
Practice address
4801 BROADWAY, UNION CITY, NJ 07087-6516
(201) 543-1668
Mailing address
4801 BROADWAY, UNION CITY, NJ 07087-6516
(201) 543-1668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA045725
NJ
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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