Provider Demographics
NPI:1538505474
Name:CRUZ, JOSE P (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:P
Last Name:CRUZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:515 ABBOTT ROAD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1114
Mailing Address - Country:US
Mailing Address - Phone:716-826-6628
Mailing Address - Fax:716-828-3448
Practice Address - Street 1:ELM AND CARLTON ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14263-1114
Practice Address - Country:US
Practice Address - Phone:716-845-2300
Practice Address - Fax:716-845-5707
Is Sole Proprietor?:No
Enumeration Date:2013-05-19
Last Update Date:2023-03-16
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Provider Licenses
StateLicense IDTaxonomies
NY288693-1207L00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology