NPI 1245276278

Edilberto de La Cruz, PA

Practitioner Anesthesiologist Assistant Baltimore, MD

Practice location

Address: 600 N Wolfe St, Baltimore, MD 21287-0005
Phone: (301) 652-2707
Fax: (301) 907-4570
Mailing address: PO Box 64382, Baltimore, MD 21264-4382

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence C02961 (MD)

Other Anesthesiologist Assistant providers in Maryland →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Maryland →

Registry record

NPI: 1245276278
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2006
Record last updated: 1 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.