Individual provider · Type 1 NPI

Gabriel Antonio De la Cruz Ku, MD

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1881223675 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (508) 334-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881223675

Gabriel Antonio De la Cruz Ku, MD's National Provider Identifier is 1881223675, issued on Apr 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Aug 9, 2021.