Provider Demographics
NPI:1457533689
Name:PASCUA, VICTOR CRUZ (MD)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:CRUZ
Last Name:PASCUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CAPTAINS LNDG
Mailing Address - Street 2:
Mailing Address - City:BELVEDERE TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-2244
Mailing Address - Country:US
Mailing Address - Phone:650-296-1740
Mailing Address - Fax:
Practice Address - Street 1:24 HOSPITAL AVE UNIT 103
Practice Address - Street 2:C/O KATHI HURGIN, DEPT OF INTERNAL MEDICINE
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-797-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113821207L00000X
CT1563394P70207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine