ANTONIO A DE LA CRUZ MD

Allergy and Immunology

Verona, New Jersey

Provider NPI: 1467440776

Provider Information:
 ANTONIO A DE LA CRUZ MD


Practice Location:
197 BLOOMFIELD AVE  VERONA, NJ 07044 US
Tel: 973-857-0330  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NJ	25MA06376600

Other Provider Identifiers:

Issuer	Number	State	Type
	1500902	NJ	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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