Individual
MS. IMELDA GINA LAFORTEZA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
90 BERGEN ST, SUITE 7600, NEWARK, NJ 07101
(973) 972-9371
(973) 972-0092
Mailing address
12 WOODHAVEN RD, PARSIPPANY, NJ 07054-1468
(973) 972-9371
(973) 972-0092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00045500
NJ
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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