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Individual

JULIO C CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5720 BLAZER PARKWAY, DUBLIN, OH 43017
(614) 761-1151
(614) 761-4893
Mailing address
5720 BLAZER PARKWAY, DUBLIN, OH 43017
(614) 761-1151
(614) 761-4893

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35063722C
OH
207ND0900X
Dermatopathology Physician
35063722C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0934887
OH
Enumeration date
09/16/2005
Last updated
08/19/2008
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