Individual
DR. TANIA RUTH CRUSSIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 BYRKIT DR, SUITE 235, WILLIAMSPORT, MD 21795-1158
(301) 582-1150
(301) 582-0905
Mailing address
3 BYRKIT DR, SUITE 235, WILLIAMSPORT, MD 21795-1158
(301) 582-1150
(301) 582-0905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D66288
MD
207Q00000X
Family Medicine Physician
ME 95139
FL
Other
Enumeration date
05/17/2007
Last updated
12/11/2019
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