| Crystale Cruz, | |
|
3400 Civic Center Blvd, 4 West, Philadelphia, PA 19104-5127 | |
| (215) 349-8222 | |
| Not Available |
| Full Name | Crystale Cruz |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275784969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | S9283 (Texas) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | OS014235 (Pennsylvania) | Primary |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477660173 PECOS PAC ID: 6204730955 Enrollment ID: O20150220000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystale Cruz, 3400 Civic Center Blvd, 4 West, Philadelphia, PA 19104-5127 Ph: () - | Crystale Cruz, 3400 Civic Center Blvd, 4 West, Philadelphia, PA 19104-5127 Ph: (215) 349-8222 |
Philippe Olivier Szapary, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949 | |
Dr. Jamie L. Garfield, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867 | |
Maria Esther Escorcia De Leon, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943 | |
Cherag Daruwala, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123 | |
Dr. Robert Burke, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208 | |
Eva Hassan Alsheik, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071 | |
Dr. Jason Thomas Ackrivo, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871 |