Individual
DR. JAIME BENJAMIN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Mailing address
2114 ST RT 113 E, MILAN, OH 44846-9483
(419) 499-4500
(419) 499-1219
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35084905
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343773
BC & BS
OH
05
—
2512221
—
OH
01
—
P00145690
RR MEDICARE
OH
Enumeration date
06/30/2006
Last updated
07/08/2007
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