Individual
DR. ROSITA RAQUIDAN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 WASHINGTON BOULEVARD, SUITE 1-A, BALTIMORE, MD 21230-2321
(410) 685-5555
(410) 685-0320
Mailing address
801 WASHINGTON BOULEVARD, SUITE 1-A, BALTIMORE, MD 21230-2321
(410) 685-5555
(410) 685-0320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0030355
MD
207R00000X
Internal Medicine Physician
Primary
D0030355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420081100
—
MD
Enumeration date
01/28/2006
Last updated
10/25/2011
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