Individual
MR. GREGORY R CRISCUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 WASHINGTON ST, SUITE 540, NORWICH, CT 06360-2700
(860) 859-5137
(860) 859-5177
Mailing address
330 WASHINGTON ST, SUITE 540, NORWICH, CT 06360-2700
(860) 859-5137
(860) 859-5177
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
030418
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001304188
—
CT
Enumeration date
06/09/2006
Last updated
01/15/2009
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