Doctor Name: | CYNTHIA E CROSS |
NPI Number: | 1003832510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26NO06567300 |
Business Practice Address: | 99 Beauvoir Ave Summit, NJ - 079013533 |
Business Phone Number: | 9739715595 |
Business Fax Number: | |
Mailing Address: | Po Box 23831, NEWARK |
State: | NJ |
Postal Code: | 071890001 |
Phone Number: | 9739715595 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NO06567300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |