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Edgar R Delacruz Md Inc
Specialist in Dover, Ohio
NPI 1477868305

Edgar R Delacruz Md Inc is a Specialist based in Dover, OH. Edgar R Delacruz Md Inc practices in Dover, OH. The NPI Number for Edgar R Delacruz Md Inc is 1477868305 and holds a License No. 35043776 (Ohio).

The current practice location address for Edgar R Delacruz Md Inc is 715 E Shafer Ave, Dover, OH and can be reached out via phone at 330-364-7764 and via fax at 330-343-8162.

Location: 715 E Shafer Ave, Dover, OH, 44622-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477868305
Provider Name
Edgar R Delacruz Md Inc
Credential
Provider Entity Type
Organization
Address
715 E Shafer Ave, Dover, OH, 44622-2053
Phone Number
330-364-7764
Fax Number
330-343-8162
Provider Enumeration Date
08/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3090533 05 OH
institution
Provider Business Practice Location Address Details
Address
715 E Shafer Ave
City
Dover
State
Ohio
Zip
44622-2053
Phone Number
330-364-7764
Fax Number
330-343-8162
person
Provider Business Mailing Address Details
Address
715 E Shafer Ave
City
Dover
State
Ohio
Zip
44622-2053
Phone Number
330-364-7764
Fax Number
330-343-8162
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35043776 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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