Individual
MR. MARK CRUCIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1418 WYOMING AVE, SCRANTON, PA 18509
(570) 341-9730
(570) 341-9731
Mailing address
1418 WYOMING AVE, SCRANTON, PA 18509
(570) 341-9730
(570) 341-9731
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD041260L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077077
1ST PRIORITY
—
01
—
12093 200
GEISINGER HEALTH
PA
01
—
18787
GEISINGER
—
01
—
2Y8654
HLTH NET
—
01
—
505461
AETNA
—
01
—
505471
AETNA
PA
01
—
614715
FEDERAL BLUE SHIELD
PA
01
—
73790
MEDPLUS
PA
01
—
E55838
STERLING
PA
01
—
PC0196
CHAMPUS
PA
Enumeration date
06/11/2006
Last updated
04/09/2008
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