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Individual

MICHAEL DELACRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 N CLAYTON ST, SUITE 301, MEDICAL SERVICES BUILDING, WILMINGTON, DE 19805
(302) 575-8103
Mailing address
701 NORTH CLAYTON STREET SUITE 301 MSB, PATHOLOGY DEPARTMENT, WILMINGTON, DE 19805
(302) 575-8103

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA08764400
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C1-0010372
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0076305
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD436080
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT186357
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0234061
NJ
01
P00890143
RAILROAD MEDICARE
NJ
Enumeration date
12/29/2006
Last updated
11/16/2020
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