Individual
ANGEL RAMON DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1137 MAIN AVE, CLIFTON, NJ 07011-2386
(973) 405-3900
(973) 928-1899
Mailing address
1137 MAIN AVE, CLIFTON, NJ 07011-2386
(973) 773-0303
(973) 773-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09042900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003959100
—
FL
05
—
0300161
—
NJ
Enumeration date
01/16/2011
Last updated
01/31/2018
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