Individual
DANNA GLORE MICHELLE DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
731 LACEY ROAD, SUITE 1, FORKED RIVER, NJ 08731
(609) 242-0040
(609) 242-8119
Mailing address
731 LACEY ROAD, SUITE 1, FORKED RIVER, NJ 08731
(609) 242-0040
(609) 242-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07164600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038318
—
NJ
Enumeration date
06/29/2006
Last updated
12/31/2019
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