Individual
ROBERT JAMES CRISALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MORRIS ST, GENERAL ADMINISTRATION, CHARLESTON, WV 25301-1326
(304) 388-6203
(304) 388-6481
Mailing address
501 MORRIS STREET, SUITE 357, CHARLESTON, WV 25301-1326
(304) 388-3574
(304) 388-6481
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11220
WV
207RP1001X
Pulmonary Disease Physician
11220
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082953000
—
WV
Enumeration date
03/27/2006
Last updated
12/17/2015
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