Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 25MA09958100 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA09958100 | NJ |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD472088 | PA |
NPI | 1922305952 |
---|---|
Provider Name | Mary Donna Mananghaya Cruz |
First Address | Bethlehem, PA 18018-2256 |
Second Address | Bethlehem, PA 18018-2256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2011 |
Last Update Date | 15/10/2020 |