Edgar R Delacruz MD INC

NPI #1477868305 in Dover, Ohio

Provider Information

NPI Number: 1477868305
Entity Type: Organization
Organization Name: Edgar R Delacruz MD INC
Primary Specialty: Specialist
Enumeration Date: Aug 16, 2010
Last Updated: Nov 17, 2011

Practice Location

Address: 715 E SHAFER AVE
City: Dover
State: Ohio
ZIP Code: 44622-2053
Phone: (330) 364-7764

Authorized Official

Name: DR. EDGAR RODRIGUEZ DELACRUZ, MD
Title: DOCTOR
Phone: (330) 364-7764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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