GABRIEL ANTONIO DE LA CRUZ KU

WORCESTER, MA
NPI1881223675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-03
Last Update Date2021-08-09
Business Address
GABRIEL ANTONIO DE LA CRUZ KU MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000
Mailing Address
GABRIEL ANTONIO DE LA CRUZ KU MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000