| Gelsimo A. Cruz, M.d. P.a. | |
|
300 Hospital Drive Suite 230 Glen Burnie MD 21061-5803 | |
| (410) 768-2700 | |
| (410) 768-2701 |
| Full Name | Gelsimo A. Cruz, M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Hospital Drive, Glen Burnie, Maryland |
| Authorized Official Name and Position | Gelsimo Angeles Cruz (PRESIDENT) |
| Authorized Official Contact | 4107682700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gelsimo A. Cruz, M.d. P.a. 300 Hospital Drive Suite 230 Glen Burnie MD 21061-5803 Ph: (410) 768-2700 | Gelsimo A. Cruz, M.d. P.a. 300 Hospital Drive Suite 230 Glen Burnie MD 21061-5803 Ph: (410) 768-2700 |
| NPI Number | 1033478631 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Medicare PECOS PAC ID | 8426204462 |
|---|---|
| Medicare Enrollment ID | O20120808000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033478631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0018126 (Maryland) | Primary |
| Provider Name | Gelsimo A Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265509277 PECOS PAC ID: 5698825271 Enrollment ID: I20090603000270 |
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