Individual
ANTHONY C DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 E DEL MAR BLVD, APT# 334, PASADENA, CA 91101-2770
(626) 354-2708
Mailing address
65 REVERE ST, BOSTON, MA 02114-4402
(626) 354-2708
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
231572
MA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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