Individual
DR. JOSEPH T CRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 NEWPORT CENTER DR, SUITE 150, NEWPORT BEACH, CA 92660-6972
(949) 644-4808
(949) 644-4879
Mailing address
180 NEWPORT CENTER DR, SUITE 150, NEWPORT BEACH, CA 92660-6972
(949) 644-4808
(949) 644-4879
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G86540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G86540
STATE LICENSE
CA
Enumeration date
06/30/2006
Last updated
07/08/2007
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