Individual
DR. RALPH ANTHONY CRISCUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC CC SP
Contact information
Practice address
18 BROADWAY, NORTH HAVEN, CT 06473-2301
(203) 234-7989
(203) 234-7516
Mailing address
18 BROADWAY, NORTH HAVEN, CT 06473-2301
(203) 234-7989
(203) 234-7516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000911CT02
BLUE CROSS INS
CT
01
—
0V9705
HEALTHNET INS
CT
01
—
P3641945
OXFORD HEALTH INSURANCE
CT
Enumeration date
10/19/2006
Last updated
07/08/2007
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