Organization
EDGAR R DELACRUZ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR RODRIGUEZ DELACRUZ MD (DOCTOR)
(330) 364-7764
Entity
Organization
Contact information
Practice address
715 E SHAFER AVE, DOVER, OH 44622-2053
(330) 364-7764
(330) 343-8162
Mailing address
715 E SHAFER AVE, DOVER, OH 44622-2053
(330) 364-7764
(330) 343-8162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35043776
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090533
—
OH
Enumeration date
08/16/2010
Last updated
11/17/2011
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