Organization
MOSES CONE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY DE LA CRUZ D.O. (RESIDENT PHYSICIAN)
(717) 991-9394
Entity
Organization
Contact information
Practice address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-8035
Mailing address
3313 HORSE PEN CREEK RD, 2H, GREENSBORO, NC 27410-9813
(717) 991-9394
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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