Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD042751 | DC |
NPI | 1053632216 |
---|---|
Provider Name | Dr. Marisa Lynn Cruz |
First Address | Silver Spring, MD 20993 |
Second Address | Silver Spring, MD 20993 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 07/11/2014 |