Organization
CHITO M. CRUDO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHITO M CRUDO MD (OWNER)
(724) 929-4122
Entity
Organization
Contact information
Practice address
25 FAYETTE STREET, BELLE VERNON, PA 15012-1666
(724) 929-4122
(724) 929-5188
Mailing address
PO BOX 251, BELLE VERNON, PA 15012-0251
(724) 929-5188
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD035941L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0588419
—
PA
01
—
139181
HIGHMARK
PA
Enumeration date
05/25/2007
Last updated
08/07/2008
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