Individual
DR. EDWARD JOHN BRODY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
248 S 21ST ST, PHILADELPHIA, PA 19103-5000
(215) 732-5530
Mailing address
500 N 21ST ST APT 801, PHILADELPHIA, PA 19130-4256
(610) 704-7028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042381
PA
Other
Enumeration date
08/25/2021
Last updated
07/01/2024
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