Individual
MR. JOSEPH SOLORIO DE LA CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(901) 450-4722
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(901) 450-4722
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
363A00000X
Physician Assistant
Primary
60413
CA
363A00000X
Physician Assistant
7231
CT
Other
Enumeration date
11/03/2011
Last updated
12/09/2025
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