Organization
RENATO F DELACRUZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO F DELACRUZ M.D. (OWNER)
(740) 633-6332
Entity
Organization
Contact information
Practice address
92 N 4TH ST, SUITE 22, MARTINS FERRY, OH 43935-1691
(740) 633-6332
(740) 633-4446
Mailing address
92 N 4TH ST, SUITE 22, MARTINS FERRY, OH 43935-1691
(740) 633-6332
(740) 633-4446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35060832
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822533
—
OH
05
—
3810012031
—
WV
01
—
DG5378
RAILROAD MEDICARE
OH
Enumeration date
07/23/2007
Last updated
11/14/2014
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