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Individual

DONNA R CRISCENZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
199 GOOSE LANE, GUILFORD, CT 06437-2115
(203) 458-2888
(203) 458-2889
Mailing address
199 GOOSE LANE, GUILFORD, CT 06437-2115
(203) 458-2888
(203) 458-2889

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022662
CT

Other

Enumeration date
07/11/2005
Last updated
05/13/2009
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