Organization
PARAMOUNT MEDICAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO DELA CRUZ M.D. (OWNER)
(740) 296-5702
Entity
Organization
Contact information
Practice address
3948 CENTRAL AVE, SHADYSIDE, OH 43947-1310
(740) 296-5702
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35060832
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106440
—
OH
Enumeration date
05/27/2014
Last updated
09/04/2014
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