Individual
MR. MARK CRUCIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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