Wilfredo Tomas Correa Cruz in Newark - Family Medicine

Wilfredo Tomas Correa Cruz - NPI 1730116211

Wilfredo Tomas Correa Cruz is a Family Medicine in Newark, New Jersey. Wilfredo Tomas Correa Cruz practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wilfredo Tomas Correa Cruz is 1730116211. The last update date is 2018-08-28.

Wilfredo Tomas Correa Cruz's current location address is 328 Ridge St, Newark, New Jersey. You can contact this provider via phone number 9738669612 and fax number 2016537960. The mailing address for Wilfredo Tomas Correa Cruz is 328 Ridge St, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Wilfredo Tomas Correa Cruz
Address 328 Ridge St, Newark, New Jersey
Phone Number 9738669612
Fax Number 2016537960
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1730116211
Provider Enumeration Date 2006-06-28
Last Updated Date 2018-08-28

Provider Mailing Address Detail

Address 328 Ridge St
City Newark
State New Jersey (NJ)
Post Code 71041311
Phone Number 9738669612
Fax Number 2016537960

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 25MA07690500
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
26212 NJ --

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FAQs about Wilfredo Tomas Correa Cruz

What is the unique 10-digit identifier code issued to Wilfredo Tomas Correa Cruz by the Centers for Medicare & Medicaid Services?

The Wilfredo Tomas Correa Cruz has been assigned the NPI (National Provider Identifier) 1730116211 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Wilfredo Tomas Correa Cruz?

The Wilfredo Tomas Correa Cruz is situated at 328 Ridge St, in the city of Newark, state of NJ, with the zip code 71041311.

What is Wilfredo Tomas Correa Cruz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wilfredo Tomas Correa Cruz is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1730116211 to Wilfredo Tomas Correa Cruz?

The Centers for Medicare & Medicaid Services originally issued the 1730116211 to Wilfredo Tomas Correa Cruz on 2006-06-28.

When was the Wilfredo Tomas Correa Cruz's information last updated?

The Wilfredo Tomas Correa Cruz's information was last updated on 2018-08-28.

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