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Individual

CRYSTALE CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 CIVIC CENTER BLVD, 4 WEST, PHILADELPHIA, PA 19104-5127
(215) 349-8222
Mailing address
3400 CIVIC CENTER BLVD, 4 WEST, PHILADELPHIA, PA 19104-5127

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS014235
PA
207RG0100X
Gastroenterology Physician
S9283
TX

Other

Enumeration date
10/01/2008
Last updated
02/24/2025
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