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Individual

DR. CHARLES DELA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
293 SUMMIT STREET, NEW HAVEN, CT 06513
(203) 710-4688
Mailing address
293 SUMMIT ST, NEW HAVEN, CT 06513-4104
(203) 710-4688

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044484
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
044484
CT
207RP1001X
Pulmonary Disease Physician
044484
CT

Other

Enumeration date
10/05/2006
Last updated
05/11/2009
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