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1811967102
ERNESTO SANTIAGO CRUZ
PHILADELPHIA, PA
NPI
1811967102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: PA MD053680L)
Enumeration Date
2006-01-26
Last Update Date
2013-03-27
Business Address
-- ERNESTO SANTIAGO CRUZ MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3646
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Mailing Address
-- ERNESTO SANTIAGO CRUZ MD
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-3646
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