Individual
ANTONIO A DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
197 BLOOMFIELD AVE, VERONA, NJ 07044-2702
(973) 857-0330
(973) 857-0980
Mailing address
197 BLOOMFIELD AVE, VERONA, NJ 07044-2702
(973) 857-0330
(973) 857-0980
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA06376600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500902
—
NJ
Enumeration date
10/11/2005
Last updated
02/04/2011
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