Provider Demographics
NPI:1306510136
Name:CRUZ, ELISABETE MARIA DUQUE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:ELISABETE
Middle Name:MARIA DUQUE
Last Name:CRUZ
Suffix:
Gender:F
Credentials:ND, LAC
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Mailing Address - Street 1:282 RAYMONDSKILL RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-7202
Mailing Address - Country:US
Mailing Address - Phone:973-650-8204
Mailing Address - Fax:
Practice Address - Street 1:193 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1755
Practice Address - Country:US
Practice Address - Phone:570-618-1280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist