Antonio A. De La Cruz, Md., Pa

LBN: Antonio A. De La Cruz, Md., Pa
Antonio A. De La Cruz, Md., Pa is an health care organization with primary practice located at 559 Broad St , Newark NJ 07102-4503. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty. Antonio A. De La Cruz, Md., Pa can be contacted via phone (973) 622-3890, or through De La Cruz, Antonio A. via phone (732) 397-0772.

Contact Information

Primary practice address
559 Broad St Newark NJ 07102-4503
Phone: (973) 622-3890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: De La Cruz, Antonio A. Doctor of Medicine (MD)
Phone: (732) 397-0772

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 25MA03502300 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 25MA03502300 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03502300 New Jersey

Profile Details

NPI number 1447261896
LBN Legal business name Antonio A. De La Cruz, Md., Pa
DBA Doing business as
Authorized official De La Cruz, Antonio A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447261896 NPPES
New Jersey MEDICAID 2066807

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